EAST GRAND HEALTH CENTER, INC (NPI# 1467489666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467489666 |
| Entity Type | Organization |
| Organization Name | EAST GRAND HEALTH CENTER, INC |
| Practice Address |
201 Houlton Rd Danforth ME 04424 |
| Practice Telephone | 2074482347 |
| Practice Fax Number | 2074482313 |
| Mailing Telephone | 2074482347 |
| Mailing Fax Number | 2074482313 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | PRISCILLA KNIGHTS (ADMINISTRATOR) |
| Authorized Official Telephone | 2074482347 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 104590000 | 05 |
| Street Address |
201 HOULTON RD |
| City | DANFORTH |
| State | ME |
| Zip Code | 04424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447067 | Lyndsay R Mciver | Nurse Practitioner | 201 Houlton Rd, Danforth, ME 04424-3140 | 2020-08-13 |
| 1114956356 | Henry Fisk | Surgery | 201 Houlton Rd, Danforth, ME 04424-0044 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548574031 | Susan Shain | Speech-Language Pathologist | 31 A Houlton Rd, Danforth, ME 04424 | 2010-07-27 |
| 1487749388 | Lilly M Gardner | Family Medicine | 201 Houlton Road, Danforth, ME 04424 | 2006-10-04 |
| 1801100383 | Maine Family Resource Center | Early Intervention Provider Agency | 31 A Houlton Rd, Danforth, ME 04424 | 2010-07-27 |
| 1114133519 | School Administrative District 14 | Day Training, Developmentally Disabled Services | 31a Houlton Rd, Danforth, ME 04424 | 2007-05-15 |
| 1316187735 | Danforth Habilitation Association | Assisted Living Facility | 7 Maple Street, Danforth, ME 04424-0217 | 2009-02-25 |
| 1407142649 | East Range II | Local Education Agency (LEA) | 31 Houlton Rd, Danforth, ME 04424-3138 | 2011-06-27 |
| 1336352129 | Rsu 84 | Local Education Agency (LEA) | 31a Houlton Rd, Danforth, ME 04424-3138 | 2007-05-08 |
| 1225343593 | Casey Quint | Occupational Therapist | 31a Houlton Rd, Danforth, ME 04424-3138 | 2010-08-11 |
| 1346484466 | Maine Family Resource Center | Early Intervention Provider Agency | 31a Houlton Rd, Danforth, ME 04424-3138 | 2009-04-21 |
| 1114132750 | Union 108-vanceboro Elementary School | Local Education Agency (LEA) | 31a Houlton Rd, Danforth, ME 04424-3138 | 2007-05-14 |
| Find all providers in zip 04424 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| 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.