CALAIS REGIONAL HOSPITAL (NPI# 1376546143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376546143 |
| Entity Type | Organization |
| Organization Name | CALAIS REGIONAL HOSPITAL |
| Other Organization Name | CALAIS REGIONAL SWING BEDS |
| Practice Address |
24 Hospital Ln Calais ME 04619-1329 |
| Practice Telephone | 2074547521 |
| Practice Fax Number | 2074543616 |
| Mailing Telephone | 2074547521 |
| Mailing Fax Number | 2074543616 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | MARY BARNETT (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2074549253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 36210 | ME | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BLUE CROSS | 000008 | 01 |
| ME | CIGNA | 0439887 | 01 |
| ME | AETNA | 0012304 | 01 |
| ME | 101960100 | 05 | |
| ME | HARVARD PILGRIM | 900800 | 01 |
| Other Name | Type Code |
|---|---|
| CALAIS REGIONAL SWING BEDS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205259736 | Calais Regional Hospital | Nurse Practitioner | 15 Palmer St, Calais, ME 04619-1305 | 2014-02-04 |
| 1922001049 | Calais Regional Hospital | General Acute Care Hospital | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-23 |
| 1346706629 | Calais Regional Hospital | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2019-02-12 |
| 1013332584 | Calais Regional Hospital | Internal Medicine | 43 Palmer St, Suite 2, Calais, ME 04619-1305 | 2014-02-20 |
| 1780015107 | Calais Regional Hospital | Radiology | 24 Hospital Ln, Calais, ME 04619-1329 | 2013-12-11 |
| 1134200702 | Calais Regional Hospital | Clinic/Center | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-18 |
| 1902907983 | Calais Regional Hospital | Radiology | 24 Hospital Ln, Calais, ME 04619 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALAIS REGIONAL HOSPITAL | 24 Hospital Ln, Calais, ME 04619-1329 |
| Street Address |
24 HOSPITAL LN |
| City | CALAIS |
| State | ME |
| Zip Code | 04619-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001049 | Calais Regional Hospital | General Acute Care Hospital | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-23 |
| 1578109153 | Blake Jon Lundgren | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-11-19 |
| 1013552009 | Calais Emergency Physicians LLC | Emergency Medicine | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-11-13 |
| 1508425208 | Michael Steven Bodkin | Registered Nurse | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-06-07 |
| 1699339689 | Deborah Lee Harris | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-04-25 |
| 1043775463 | Candace Jean Kelley | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-02-11 |
| 1942765805 | Laura Marie Barnett | Occupational Therapist | 24 Hospital Ln, Calais, ME 04619-1398 | 2019-02-05 |
| 1073078184 | Emily Smith | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-02-02 |
| 1255895819 | Bruce R. Stevens | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
| 1801350319 | Morgan Ann Merchant | Occupational Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| 1114458080 | Helpinghand 643939nbltd | Homemaker | 295 North Street, Calis, ME 04619 | 2017-03-23 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1275820672 | Karen L Sears | Pharmacist | 223 and 233 North Street, Calais, ME 04619 | 2011-07-06 |
| 1376857458 | David L Wyman | Pharmacist | 223 and 233 North St, Rite Aid Pharmacy, Calais, ME 04619 | 2010-08-02 |
| 1902132038 | Brenda Ann Spear | Developmental Therapist | 23 Center Street, Baring Plt., ME 04619 | 2009-10-24 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1467540930 | Brian Earle Thompson | Social Worker | 55 Franklin Street, Eastport Health Care, Calais, ME 04619 | 2006-10-10 |
| 1588770689 | William Robert Gould | Dentist | 399 Main Steet, Calais, ME 04619 | 2006-08-22 |
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| Find all providers in zip 04619 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104834977 | Eastern Maine Healthcare Systems | Medicare Defined Swing Bed Unit | 364 Pritham Avenue, Greenville, ME 04441 | 2006-08-04 |
| 1255791026 | Aroostook Medical Center | Medicare Defined Swing Bed Unit | 140 Academy St, Presque Isle, ME 04769-3102 | 2016-03-07 |
| 1891184172 | Northern Maine Medical Center | Medicare Defined Swing Bed Unit | 194 E Main St, Fort Kent, ME 04743-1428 | 2015-01-09 |
| 1982029468 | Redington-fairview General Hospital | Medicare Defined Swing Bed Unit | 46 Fairview Ave, Skowhegan, ME 04976 | 2014-02-20 |
| 1013355254 | Houlton Regional Hospital | Medicare Defined Swing Bed Unit | 20 Hartford St, Houlton, ME 04730-1891 | 2013-06-10 |
| 1336587542 | Down East Community Hospital | Medicare Defined Swing Bed Unit | 11 Hospital Dr, Machias, ME 04654-3325 | 2013-06-10 |
| 1184944878 | Mainehealth | Medicare Defined Swing Bed Unit | 118 Northport Ave, Belfast, ME 04915-6009 | 2010-06-04 |
| 1982742482 | Rumford Hospital | Medicare Defined Swing Bed Unit | 420 Franklin St, Rumford, ME 04276-2104 | 2007-02-05 |
| 1477691467 | Bridgton Hospital | Medicare Defined Swing Bed Unit | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2007-02-02 |
| 1316035116 | Mainehealth | Medicare Defined Swing Bed Unit | 35 Miles St, Damariscotta, ME 04543-4047 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CALAIS REGIONAL HOSPITAL.
| 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.