MAINEHEALTH (NPI# 1730669532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730669532 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | SMHC WALK IN CARE-KENNEBUNK |
| Practice Address |
2 Livewell Dr Kennebunk ME 04043-6762 |
| Mailing Address |
1 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2072948400 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | LUGENE ANTHONY INZANA (ASSOCIATE CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
37915 | ME | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SMHC Walk In Care-Kennebunk | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
| 1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
| 1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
| Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
| Street Address |
2 LIVEWELL DR |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-6762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930177 | Christopher Allan Hughes | Psychiatry & Neurology | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2005-05-24 |
| 1134752884 | Harpswell Coffin | Family Medicine | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2020-02-20 |
| 1144882549 | Debra B Alexandre | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-07-05 |
| 1366002313 | Janet Blake Freeman | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-06-20 |
| 1083274682 | Ali Arsenault | Occupational Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-06-17 |
| 1093375859 | Heather Eastman | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-06-14 |
| 1558926212 | Sarah E Mclean | Physical Therapist | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2019-05-07 |
| 1215413851 | Amanda Graber | Nurse Practitioner | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2018-07-17 |
| 1932652864 | Custom Hearing LLC | Hearing Aid Equipment | 2 Livewell Dr, Suite 102, Kennebunk, ME 04043-6762 | 2016-07-27 |
| 1467838854 | Emily T O'connell | Nurse Practitioner | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589029 | York Hospital | Clinic/Center | 2 Independence Dr Ste B, Kennebunk, ME 04043-6078 | 2018-05-23 |
| 1851788681 | Southern Maine Health Care | Clinic/Center | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2015-04-20 |
| 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 |
| 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 |
| 1144687054 | Central Maine Medical Center | Clinic/Center | 593 Center St, Auburn, ME 04210-6323 | 2016-01-22 |
| 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.