MAINEGENERAL MEDICAL CENTER (NPI# 1285672436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285672436 |
| Entity Type | Organization |
| Organization Name | MAINEGENERAL MEDICAL CENTER |
| Practice Address |
35 Medical Center Parkway Augusta ME 04330 |
| Mailing Address |
P.o. Box 860 Waterville ME 04903 |
| Practice Telephone | 2078724454 |
| Practice Fax Number | 2078724467 |
| Mailing Telephone | 2078724454 |
| Mailing Fax Number | 2078724467 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | TERRANCE BRANN (CFO) |
| Authorized Official Telephone | 2076261230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 37283 | ME | Hospitals |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
1817 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 154420000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716710 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-01-10 |
| 1174858278 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1083949184 | Mainegeneral Medical Center | Nurse Practitioner | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1104908300 | Mainegeneral Medical Center | Nursing Facility/Intermediate Care Facility | 376 Main St, Jackman, ME 04945-5214 | 2006-10-19 |
| 1447289996 | Mainegeneral Medical Center | Rehabilitation Unit | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-30 |
| 1669423380 | Mainegeneral Medical Center | General Acute Care Hospital | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEGENERAL MEDICAL CENTER | 35 Medical Center Parkway, Augusta, ME 04330-8160 |
| Street Address |
35 MEDICAL CENTER PARKWAY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789184 | Kennebec Anesthesia Associates, P.a. | Anesthesiology | 35 Medical Center Parkway, Ste 201, Augusta, ME 04330-8160 | 2005-12-01 |
| 1154780310 | Morgan Cornell | Nurse Anesthetist, Certified Registered | 35 Medical Center Parkway, Augusta, ME 04330-8160 | 2016-02-16 |
| 1255614145 | Angela Kostenbader | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-09-27 |
| 1063716710 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-01-10 |
| 1013249903 | Angela Coton | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330-3623 | 2010-02-03 |
| 1174858278 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1083949184 | Mainegeneral Medical Center | Nurse Practitioner | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1316100498 | Lakshman Subrahmanyan | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2008-07-08 |
| 1760640056 | Raina M Lourens | Anesthesiology | 35 Medical Center Parkway, Augusta, ME 04330-8160 | 2008-05-23 |
| 1932130507 | Johnathan K Grandy | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412513 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2470 Wrightsboro Rd, Augusta, GA 30904-6202 | 2015-07-16 |
| 1235370164 | Rai Care Centers of Georgia I LLC | Clinic/Center | 1719 Magnolia Way, Augusta, GA 30909-9482 | 2009-03-24 |
| 1225140056 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1717 Walton Way, Augusta, GA 30904-3705 | 2006-08-31 |
| 1508978313 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2006-08-31 |
| 1316059140 | Bio-medical Applications of Georgia Inc | Clinic/Center | 1109 Medical Center Dr Bldg H, Augusta, GA 30909-6669 | 2006-08-31 |
| 1063438042 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 164 Civic Center Dr, Augusta, ME 04330-8028 | 2006-07-14 |
| 1255373437 | Ara-south Augusta Clinic LLC | Clinic/Center | 1649 Gordon Hwy, Augusta, GA 30906-2220 | 2006-06-12 |
| 1073560611 | Nra-augusta, Georgia, LLC | Clinic/Center | 2841 Deans Bridge Rd, Augusta, GA 30906-2704 | 2006-05-28 |
| 1194772947 | Ara-augusta Clinic LLC | Clinic/Center | 1000 Telfair St, Augusta, GA 30901-2208 | 2006-05-27 |
| 1972572949 | Dva Healthcare Renal Care Inc | Clinic/Center | 1815 Wylds Rd, Augusta, GA 30909-4430 | 2006-03-14 |
| Find all providers in AUGUSTA | ||||
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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.