ST. MARY'S REGIONAL MEDICAL CENTER (NPI# 1407242522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407242522 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S REGIONAL MEDICAL CENTER |
| Other Organization Name | ST. MARY'S URGENT CARE |
| Practice Address |
791 Turner St Unit 2 Auburn ME 04210-6314 |
| Mailing Address |
Po Box 95000 Lbx 7650 Philadelphia PA 19195-0001 |
| Practice Telephone | 2073303900 |
| Practice Fax Number | 2073303940 |
| Mailing Telephone | 2077778202 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MR. JEFFREY A HUNDMAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2077778546 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
38244 | ME | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Mary's Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245292788 | St. Mary's Regional Medical Center | Psychiatric Unit | 93 Campus Avenue, Lewiston, ME 04240-6030 | 2006-04-03 |
| 1952306524 | St. Mary's Regional Medical Center | Skilled Nursing Facility | 102 Campus Ave, Lewiston, ME 04240-6019 | 2005-06-20 |
| 1467706200 | St. Mary's Regional Medical Center | General Acute Care Hospital | 305 S 5th St, Enid, OK 73701-5832 | 2012-11-01 |
| 1851563704 | St. Mary's Regional Medical Center | Dietitian, Registered | 305 S 5th St, Enid, OK 73701-5832 | 2008-04-01 |
| 1447226584 | St. Mary's Regional Medical Center | General Acute Care Hospital | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. MARY'S REGIONAL MEDICAL CENTER | 93 Campus Ave, Lewiston, ME 04240-6030 |
| Street Address |
791 TURNER ST UNIT 2 |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104484088 | Ritika Kailey | Dentist | 791 Turner St, Auburn, ME 04210-6314 | 2019-06-05 |
| 1437649480 | Jessica Devine | Dentist | 791 Turner St, Auburn, ME 04210-6314 | 2018-05-15 |
| 1922471549 | David Bukala | Dentist | 791 Turner St, Auburn, ME 04210-6314 | 2015-11-04 |
| 1467831362 | Ar Dental LLC | Dentist | 791 Turner St, Auburn, ME 04210-6314 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144687054 | Central Maine Medical Center | Clinic/Center | 593 Center St, Auburn, ME 04210-6323 | 2016-01-22 |
| 1093122384 | Southeast Medical Center LLC | Clinic/Center | 3365 Skyway Dr Ste 100, Auburn, AL 36830-6487 | 2014-07-18 |
| 1710228838 | Mcswain Medical of Auburn Pllc | Clinic/Center | 37 W Garden St, Suite 105, Auburn, NY 13021-2662 | 2013-03-14 |
| 1841506458 | Stopwatch Urgent Care Centers LLC | Clinic/Center | 2415 Moores Mill Rd, Suite 230, Auburn, AL 36830-8480 | 2010-08-20 |
| 1316268758 | Patient First Urgent Care LLC | Clinic/Center | 2415 Moores Mill Rd, Suite 230, Auburn, AL 36830-8428 | 2010-06-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.