KATAHDIN VALLEY HEALTH CENTER (NPI# 1285156166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285156166 |
| Entity Type | Organization |
| Organization Name | KATAHDIN VALLEY HEALTH CENTER |
| Practice Address |
50 Summer St Millinocket ME 04462-1400 |
| Mailing Address |
529 S Patten Rd Patten ME 04765-3007 |
| Practice Telephone | 2075282285 |
| Practice Fax Number | 2075282880 |
| Mailing Telephone | 2075282285 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | CLAUDETTE G HUMPHREY (CEO) |
| Authorized Official Telephone | 2075282285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1669913919 | Katahdin Valley Health Center | Clinic/Center | 48 Penquis Dr, Milo, ME 04463-1033 | 2017-03-19 |
| 1417407107 | Katahdin Valley Health Center | Clinic/Center | 800 Station Rd, Stacyville, ME 04777-4121 | 2016-10-06 |
| 1053787721 | Katahdin Valley Health Center | Clinic/Center | 180 Main Rd, Brownville, ME 04414-3107 | 2015-08-18 |
| 1962833624 | Katahdin Valley Health Center | Clinic/Center | 33 Walker St, Ashland, ME 04732-3429 | 2013-12-06 |
| 1023290020 | Katahdin Valley Health Center | Clinic/Center | 147 Hodgdon Mills Rd, Hodgdon, ME 04730-4277 | 2007-11-30 |
| 1942482948 | Katahdin Valley Health Center | Clinic/Center | 174 Hodgdon Mills Rd, Hodgdon, ME 04730-4278 | 2007-11-30 |
| 1801092515 | Katahdin Valley Health Center | Clinic/Center | 15 Hartford St, Houlton, ME 04730-1823 | 2007-06-21 |
| 1457421307 | Katahdin Valley Health Center | Clinic/Center | 1300 Crystal Road, Island Falls, ME 04747 | 2006-11-08 |
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| Street Address |
50 SUMMER ST |
| City | MILLINOCKET |
| State | ME |
| Zip Code | 04462-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396701470 | Lisa S Milne | Nurse Practitioner | 50 Summer St, Millinocket, ME 04462-1400 | 2006-04-26 |
| 1265042212 | Josh H Jones | Registered Nurse | 50 Summer St, Millinocket, ME 04462-1400 | 2020-08-05 |
| 1982213443 | Alicia M Farrell | Registered Nurse | 50 Summer St, Millinocket, ME 04462-1400 | 2020-07-30 |
| 1780201806 | Kaylee D Doody | Registered Nurse | 50 Summer St, Millinocket, ME 04462-1400 | 2020-07-06 |
| 1457971384 | Brendan D Hurley | Chiropractor | 50 Summer St, Millinocket, ME 04462-1400 | 2020-04-21 |
| 1851937882 | Rae Jean Myla Robinson | Nurse's Aide | 50 Summer St, Millinocket, ME 04462-1400 | 2019-11-25 |
| 1023665239 | Lily A Young | Dental Hygienist | 50 Summer St, Millinocket, ME 04462-1400 | 2019-08-22 |
| 1881249779 | Laura Mae Bouchard | Registered Nurse | 50 Summer St, Millinocket, ME 04462-1400 | 2019-08-07 |
| 1417426883 | Brianna I Rainey | Community Health Worker | 50 Summer St, Millinocket, ME 04462-1400 | 2018-11-15 |
| 1477046571 | Christopher J Castonguay | Dentist | 50 Summer St, Millinocket, ME 04462-1400 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320279 | Carrie Lynne Farber | Massage Therapist | 304 Bates Street, Millinoket, ME 04462 | 2020-06-11 |
| 1053550350 | David P Johnson | Physician Assistant | 165 Poplar Street, Suite #1, Millinocket, ME 04462 | 2009-02-10 |
| 1760640189 | Health Access Network, Inc. | Clinic/Center | 24 Balsam Dr, Millinocket, ME 04462 | 2008-06-02 |
| 1972725372 | East Millinocket School Department | Local Education Agency (LEA) | 45 North Street, East Millinocket, ME 04462 | 2007-05-03 |
| 1285755843 | Town of Millinocket | Ambulance | 197 Penobscot Ave, Millinocket, ME 04462 | 2007-04-02 |
| 1093815367 | David J Shippee | Optometrist | 178 Central St, Millinocket, ME 04462 | 2006-09-25 |
| 1356627772 | Andrea Byther | Dietitian, Registered | 200 Somerset Street, Millinocket Regional Hospital, Millinocket, ME 04462 | 2011-10-31 |
| 1396780326 | Ann R Grunthaler | Licensed Practical Nurse | 180 Aroostook Ave, Millinocket, ME 04462 | 2006-06-16 |
| 1205838174 | John J Gluscic | Orthopaedic Surgery | 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 | 2005-08-11 |
| 1285827840 | Nilesh K Patil | Orthopaedic Surgery | 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 | 2007-08-27 |
| Find all providers in zip 04462 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1871076117 | Aroostook Apothecary LLC | Pharmacy | 73 Presque Isle Road, Ashland, ME 04732 | 2018-09-12 |
| 1518481134 | Aroostook Pharmacy Inc. | Pharmacy | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2017-07-26 |
| 1487067997 | Seaside Pharmacy | Pharmacy | 59 School Street, Stonington, ME 04681 | 2014-06-03 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
| 1255648689 | Jensen's Pharmacy | Pharmacy | 91 Camden St Ste 105, Rockland, ME 04841-2421 | 2010-09-07 |
| 1780913111 | M Drug LLC | Pharmacy | 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 | 2009-12-14 |
| Find all providers with the same taxonomy | ||||
| City | MILLINOCKET |
| Zip Code | 04462 |
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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.