PENOBSCOT VALLEY HOSPITAL (NPI# 1588995948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588995948 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT VALLEY HOSPITAL |
| Other Organization Name | PENOBSCOT PRIMARY CARE (RURAL HEALTH) |
| Practice Address |
252 Enfield Rd Suite 3 Lincoln ME 04457-4146 |
| Mailing Address |
7 Transalpine Rd Lincoln ME 04457-4222 |
| Practice Telephone | 2077947215 |
| Mailing Telephone | 2077943321 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | CRYSTAL A LANDRY (CEO) |
| Authorized Official Telephone | 2077947129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
37453 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | DHHS - STATE OF MAINE | 37075 | 01 |
| Other Name | Type Code |
|---|---|
| Penobscot Primary Care (Rural Health) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
| 1700805868 | Penobscot Valley Hospital | Medicare Defined Swing Bed Unit | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2006-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PENOBSCOT VALLEY HOSPITAL | 7 Transalpine Rd, Lincoln, ME 04457-4222 |
| Street Address |
252 ENFIELD RD SUITE 3 |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214271 | Carl F Alessi | Family Medicine | 252 Enfield Rd, Suite 1, Lincoln, ME 04457-4146 | 2005-09-02 |
| 1144638859 | Revaz Boukia | Physician Assistant | 252 Enfield Rd, Lincoln, ME 04457-4146 | 2014-07-25 |
| 1154387017 | Manoucher Afshari | Surgery | 252 Enfield Rd, Suite 2, Lincoln, ME 04457-4146 | 2006-04-21 |
| 1780667873 | William E Head | Physician Assistant | 252 Enfield Rd, Lincoln, ME 04457-4146 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1033360540 | Family Medical Center of Lincoln, LLC | Clinic/Center | 515 N College St, Lincoln, IL 62656-1401 | 2008-10-02 |
| 1518143452 | Springfield Clinic, LLP | Clinic/Center | 100 Stahlhut Dr, Lincoln, IL 62656-5059 | 2008-01-10 |
| 1841248952 | Lincoln County Hospital | Clinic/Center | 313 E Franklin St, Lincoln, KS 67455-1751 | 2006-05-04 |
| 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 |
| 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.