MAINEHEALTH (NPI# 1124508924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124508924 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | SMHC WALK IN CARE |
| Practice Address |
655 Main St Saco ME 04072-1543 |
| Mailing Address |
1 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2072945600 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | LUGENE ANTHONY INZANA (ASSOCIATE CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
37567 | ME | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SMHC Walk In Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
| 1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
| 1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
| Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
| Street Address |
655 MAIN ST |
| City | SACO |
| State | ME |
| Zip Code | 04072-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699240226 | Cortney Elizabeth Binette | Emergency Medicine | 655 Main St, Saco, ME 04072-1699 | 2018-10-10 |
| 1588150783 | Ross Hanley | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-07-11 |
| 1477042406 | Tricia E Garrett | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-05-04 |
| 1316297690 | Nichole C Reader | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2012-09-14 |
| 1255690228 | Southern Maine Health Care | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2012-05-11 |
| 1356608368 | Korrie B Beverley-waters | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072 | 2012-04-15 |
| 1689953762 | Tara Jones Molloy | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2011-08-08 |
| 1134310618 | Garrett B Edwards | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072-1543 | 2007-08-08 |
| 1336342955 | Colleen Mayo | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2007-06-10 |
| 1629284344 | William Stephen Gefvert | Internal Medicine | 655 Main St, Saco, ME 04072-1543 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151348 | Convenientmd LLC | Clinic/Center | 506 Main St, Saco, ME 04072-1530 | 2019-08-29 |
| 1255690228 | Southern Maine Health Care | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988707 | Maine Urgent Care, LLC | Clinic/Center | 685 Sabattus Street, Lewiston, ME 04240-0000 | 2019-05-20 |
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1700355567 | Careall P.C. | Clinic/Center | 230 Waterman Dr, South Portland, ME 04106-3635 | 2018-11-21 |
| 1992281422 | Convenientmd LLC | Clinic/Center | 543 Broadway, Bangor, ME 04401-3337 | 2018-07-18 |
| 1821589029 | York Hospital | Clinic/Center | 2 Independence Dr Ste B, Kennebunk, ME 04043-6078 | 2018-05-23 |
| 1548617780 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 54 Rumery, Industrial Park, Portland, ME 04106 | 2016-05-18 |
| 1982051488 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1 Idexx Dr, Westbrook, ME 04092-2040 | 2016-05-16 |
| 1578918132 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 113 Wells St, North Berwick, ME 03906-6751 | 2016-05-02 |
| 1437504198 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 205 Spencer Dr, Wells, ME 04090-5553 | 2016-05-02 |
| 1366897027 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 89 Cumberland St, Westbrook, ME 04092-3592 | 2016-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.