MAINEHEALTH (NPI# 1902422561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902422561 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | MID COAST MEDICAL GROUP |
| Practice Address |
123 Medical Center Dr Brunswick ME 04011-2652 |
| Practice Telephone | 2077290181 |
| Mailing Telephone | 2077290181 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | LUGENE INZANA (CFO & MH ASSOCIATE CFO) |
| Authorized Official Telephone | 2076622654 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mid Coast Hospital | Doing Business As Name - Organization |
| Mid Coast Medical Group | 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 |
123 MEDICAL CENTER DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911841 | Philip S Crichton | Radiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2005-06-09 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| 1699399931 | Abrianne Eagers | Registered Nurse | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-02 |
| 1629606934 | Morgan Cooper | Physical Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-03-31 |
| 1073020707 | Thomas Blake Hendrix | Internal Medicine | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2018-01-03 |
| 1215448048 | Kelly A Hoyt | Nurse Practitioner | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-10-19 |
| 1306357587 | Kristina Nocella | Physical Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-10-16 |
| 1760907224 | Jaime Norton | Occupational Therapist | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-08-07 |
| 1831612357 | Amanda Beth Behnke | Nurse Practitioner | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-07-18 |
| 1255851085 | Emily Adams Downs | Physician Assistant | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649709262 | Advanced Regenerative Healthcare and Physical Medicine of Brunswick | Clinic/Center | 712 Mall Blvd, Brunswick, GA 31525-0539 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972015774 | Down East Community Hospital | Clinic/Center | 43 Palmer St Ste 1, Calais, ME 04619-1305 | 2017-11-02 |
| 1053752584 | New England Telemedicine Pa | Clinic/Center | 98 Route 236, Suite 2, Kittery, ME 03904-5527 | 2013-07-12 |
| 1609837236 | Goodall Health Partners | Clinic/Center | 27 June St, Sanford, ME 04073-2621 | 2006-03-31 |
| 1407403611 | Evergreen Health, LLC | Clinic/Center | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-08-22 |
| 1801235023 | Penobscot Community Health Center | Clinic/Center | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-06-20 |
| 1871936609 | Southern Maine In Home Therapy Services,llc | Clinic/Center | 59 Sleepy Hollow Dr, Gorham, ME 04038-2563 | 2013-04-11 |
| 1467608836 | Mdfpr | Clinic/Center | 15 E Chestnut St, Augusta, ME 04330-5736 | 2008-08-17 |
| 1104005362 | Spurwink Services | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2007-10-24 |
| 1568581882 | Children, Families and Communities, Inc. | Clinic/Center | 102 Main St, Ste. A, Ellsworth, ME 04605-1919 | 2007-03-28 |
| 1588725246 | C. V. Diagnostics, Inc. | Clinic/Center | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-12-13 |
| 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.