HOULTON REGIONAL HOSPITAL (NPI# 1386601524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386601524 |
| Entity Type | Organization |
| Organization Name | HOULTON REGIONAL HOSPITAL |
| Other Organization Name | HOULTON FAMILY PRACTICE |
| Practice Address |
22 Hartford St Houlton ME 04730-1844 |
| Practice Telephone | 2075323289 |
| Practice Fax Number | 2075325974 |
| Mailing Telephone | 2075323289 |
| Mailing Fax Number | 2075325974 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MR. THOMAS J MOAKLER (CEO) |
| Authorized Official Telephone | 2075322900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 167890200 | 05 |
| Other Name | Type Code |
|---|---|
| Houlton Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013355254 | Houlton Regional Hospital | Medicare Defined Swing Bed Unit | 20 Hartford St, Houlton, ME 04730-1891 | 2013-06-10 |
| 1386804268 | Houlton Regional Hospital | General Acute Care Hospital | 20 Hartford St, Houlton, ME 04730-1891 | 2008-06-13 |
| 1346279080 | Houlton Regional Hospital | Skilled Nursing Facility | 20 Hartford St, Houlton, ME 04730-1891 | 2006-07-03 |
| 1508823741 | Houlton Regional Hospital | General Acute Care Hospital | 20 Hartford St, Houlton, ME 04730-1891 | 2006-05-01 |
| 1639147101 | Houlton Regional Hospital | Clinic/Center | 22 Hartford St, Houlton, ME 04730-1844 | 2006-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOULTON REGIONAL HOSPITAL | 20 Hartford St Ofc, Houlton, ME 04730-1892 |
| Street Address |
22 HARTFORD ST |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161476 | Chester M. Husted | Specialist | 22 Hartford St, Suite 400, Houlton, ME 04730-1844 | 2005-08-11 |
| 1023622560 | Kaitlin Anne Koppel | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2020-09-02 |
| 1427312875 | Amira Elmagbari | Internal Medicine | 22 Hartford St, Houlton, ME 04730-1844 | 2012-06-30 |
| 1417238098 | Lyndsi Ward | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2011-09-08 |
| 1366734170 | Solomon Babajide Olabiyi | Internal Medicine | 22 Hartford St, Houlton, ME 04730-1844 | 2011-05-11 |
| 1689839391 | Lakshmimalini Govindan | Obstetrics & Gynecology | 22 Hartford St, Houlton, ME 04730-1844 | 2008-07-22 |
| 1326227588 | Joseph P Fahey | Pediatrics | 22 Hartford St, Houlton, ME 04730-1844 | 2007-10-24 |
| 1255531604 | Kimberly Anne Mays De Perez | Obstetrics & Gynecology | 22 Hartford St, Houlton Family Practice Ob/gyn, Houlton, ME 04730-1844 | 2007-07-24 |
| 1871688812 | Robert I Mosenfelder | Obstetrics & Gynecology | 22 Hartford St, Ste 4, Houlton, ME 04730-1844 | 2006-10-04 |
| 1831284918 | Lee G Bland | Physician Assistant | 22 Hartford St, Houlton, ME 04730-1891 | 2006-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639147101 | Houlton Regional Hospital | Clinic/Center | 22 Hartford St, Houlton, ME 04730-1844 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1902841083 | Rumford Community Family Health Center, Inc. | Clinic/Center | 146 Weld St, Dixfield, ME 04224-9614 | 2006-06-20 |
| 1871568766 | Rockomeka Family Practice LLC | Clinic/Center | 38 Union Street, Livermore Falls, ME 04254 | 2006-02-22 |
| 1851397475 | Down East Community Hospital | Clinic/Center | 24 School St, Milbridge, ME 04658-0005 | 2005-06-28 |
| 1295367803 | Sebasticook Valley Health | Clinic/Center | 26 Main St Ste 2, Newport, ME 04953-4163 | 2020-02-11 |
| 1245873082 | Mainehealth | Clinic/Center | 181 Franklin Health Commons, Farmington, ME 04938 | 2019-10-24 |
| 1619510047 | Mainehealth | Clinic/Center | 131 Franklin Health Cmns, Farmington, ME 04938-6142 | 2019-10-17 |
| 1811451081 | Mainehealth | Clinic/Center | 21 Main St, Livermore Falls, ME 04254-1219 | 2019-01-22 |
| 1922550417 | Down East Community Hospital | Clinic/Center | 70 Snare Creek Ln, Jonesport, ME 04649-3139 | 2016-10-31 |
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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.