PENOBSCOT VALLEY HOSPITAL (NPI# 1700805868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700805868 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT VALLEY HOSPITAL |
| Practice Address |
7 Transalpine Rd Lincoln ME 04457-4222 |
| Practice Telephone | 2077943321 |
| Practice Fax Number | 2077942120 |
| Mailing Telephone | 2077943321 |
| Mailing Fax Number | 2077942120 |
| Enumeration Date | 2006-07-19 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 37453 | ME | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 135270000 | 05 | |
| ME | PIN | MM9221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
| 1588995948 | Penobscot Valley Hospital | Clinic/Center | 252 Enfield Rd, Suite 3, Lincoln, ME 04457-4146 | 2010-01-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PENOBSCOT VALLEY HOSPITAL | 7 Transalpine Rd, Lincoln, ME 04457-4222 |
| Street Address |
7 TRANSALPINE RD |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
| 1659832566 | Linda Osborne | Physical Therapist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2019-03-26 |
| 1831659804 | Kathleen Neal | Physical Therapist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2019-03-25 |
| 1053886184 | Penobscot Valley Foot and Ankle | Podiatrist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2018-10-04 |
| 1831539899 | Amanda Elizabeth Buzzell | Physician Assistant | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2013-07-04 |
| 1669704201 | Scott Cormier | Occupational Therapist | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2010-02-08 |
| 1710116876 | Devesh Agarwal | Family Medicine | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2009-07-10 |
| 1881809044 | Mark B Robinson | Dietitian, Registered | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2007-05-11 |
| 1619914280 | Myra M Whorton | Nurse Anesthetist, Certified Registered | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2006-06-01 |
| 1154378917 | Gerald S Laird | Nurse Anesthetist, Certified Registered | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2006-05-27 |
| Find all providers in the same location | ||||
| 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 | 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 | ||||
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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.