UNIVERSITY OF MAINE SYSTEM (NPI# 1780020941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780020941 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MAINE SYSTEM |
| Other Organization Name | UNIVERSITY OF SOUTHERN MAINE |
| Practice Address |
37 College Ave 125 Upton Hall Gorham ME 04038-1032 |
| Practice Telephone | 2077805411 |
| Practice Fax Number | 2077804911 |
| Mailing Telephone | 2077805411 |
| Mailing Fax Number | 2077804911 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MS. LISA GARNER BELANGER (DIRECTOR, HEALTH SERVICES, USM) |
| Authorized Official Telephone | 2077805160 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| University of Southern Maine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790004414 | University of Maine System | Family Medicine | 111 South St, Farmington, ME 04938-6823 | 2010-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF MAINE SYSTEM | 5703 Alumni Hall Suite 101, Orono, ME 04469-5703 |
| Vermont Business Registrations | UNIVERSITY OF MAINE SYSTEM | 107 Main Avenue, Bangor, ME 04411 |
| Street Address |
37 COLLEGE AVE 125 UPTON HALL |
| City | GORHAM |
| State | ME |
| Zip Code | 04038-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720026818 | Mary M Scannell | Nurse Practitioner | 37 College Ave, 110 Upton Hall, Gorham, ME 04038-1032 | 2006-06-02 |
| 1184274631 | Jaclyn Luckhardt | Student in an Organized Health Care Education/Training Program | 37 College Ave, Gorham, ME 04038-1032 | 2019-09-17 |
| 1801446356 | Allison Elizabeth Little | Student in an Organized Health Care Education/Training Program | 37 College Ave, Gorham, ME 04038-1099 | 2019-09-17 |
| 1871077271 | Alexandra Srolovitz | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-09-20 |
| 1770067647 | Joseph Rand Davenport II | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-09-18 |
| 1487138434 | Logan L Gailitis | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-09-15 |
| 1205336161 | Kelleigh O'neill | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-02-17 |
| 1992166847 | Shelby Watts | Specialist/Technologist | 37 College Ave, Gorham, ME 04038 | 2016-03-18 |
| 1518335462 | Samar Jamali | Nurse Practitioner | 37 College Ave, University Health and Counseling, Gorham, ME 04038-1032 | 2015-09-09 |
| 1821498957 | Benjamin Towne | Specialist/Technologist | 37 College Ave, Costello Sports Complex, Gorham, ME 04038-1032 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| 1124537600 | Helping Hearts Home Care | Home Health | 46 Farrington Rd, Gorham, ME 04038 | 2017-09-27 |
| 1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
| 1184056400 | Katherine Pritchard | Speech-Language Pathologist | 1002 Wagner Farm Road, Gorham, ME 04038 | 2013-08-09 |
| 1043565013 | Jennifer Brooke Turcotte | Social Worker | 697b Gray Rd, Gorham, ME 04038 | 2012-07-17 |
| 1326356296 | Gail Trefethern-kelley | Occupational Therapist | 75 School Street, Suite 2, Gorham, ME 04038 | 2010-09-14 |
| 1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
| 1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
| 1205971330 | Victor Liberi | Specialist/Technologist | 33 College Ave., University of So. Maine, Gorham, ME 04038 | 2007-02-20 |
| 1467595322 | Susanne Martornao | Occupational Therapist | 14 Murray Drive, Gorham, ME 04038 | 2007-02-14 |
| Find all providers in zip 04038 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497054191 | Augusta School Based Health Center | Clinic/Center | 60 Pierce Dr, Augusta, ME 04330-0619 | 2011-03-21 |
| 1124176250 | Regional School Unit No 38 | Clinic/Center | 45 Millard Harrison Dr, Student Health Center, Readfield, ME 04355-3573 | 2007-01-08 |
| 1609426691 | Maine School of Science and Mathematics | Clinic/Center | 77 High St, Limestone, ME 04750-1141 | 2019-09-12 |
| 1164720827 | Rsu/sad#60 | Clinic/Center | 388 Somersworth Rd, North Berwick, ME 03906-6559 | 2011-03-04 |
| 1285934943 | Rsu 39 | Clinic/Center | 628 Main St, Caribou, ME 04736-4421 | 2010-10-28 |
| 1780815316 | Avis Goodwin Community Health Center | Clinic/Center | 388 Somersworth Rd, North Berwick, ME 03906-6559 | 2009-07-30 |
| 1598952475 | Cameron Parish School Board | Clinic/Center | 246 Dewey St, Cameron, ME 70631 | 2007-09-25 |
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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.