CALAIS REGIONAL HOSPITAL (NPI# 1902907983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902907983 |
| Entity Type | Organization |
| Organization Name | CALAIS REGIONAL HOSPITAL |
| Other Organization Name | CRH RADIOLOGY PHYSICIAN SERVICES |
| Practice Address |
24 Hospital Ln Calais ME 04619 |
| Mailing Address |
43 Palmer St Calais ME 04619-1305 |
| Practice Telephone | 2074547521 |
| Mailing Telephone | 2074548150 |
| Mailing Fax Number | 2074540256 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | MR. PAUL B MCADAM (CFO) |
| Authorized Official Telephone | 2074547521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 101960403 | 05 |
| Other Name | Type Code |
|---|---|
| CRH Radiology Physician Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205259736 | Calais Regional Hospital | Nurse Practitioner | 15 Palmer St, Calais, ME 04619-1305 | 2014-02-04 |
| 1922001049 | Calais Regional Hospital | General Acute Care Hospital | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-23 |
| 1346706629 | Calais Regional Hospital | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2019-02-12 |
| 1013332584 | Calais Regional Hospital | Internal Medicine | 43 Palmer St, Suite 2, Calais, ME 04619-1305 | 2014-02-20 |
| 1780015107 | Calais Regional Hospital | Radiology | 24 Hospital Ln, Calais, ME 04619-1329 | 2013-12-11 |
| 1134200702 | Calais Regional Hospital | Clinic/Center | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-18 |
| 1376546143 | Calais Regional Hospital | Medicare Defined Swing Bed Unit | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALAIS REGIONAL HOSPITAL | 24 Hospital Ln, Calais, ME 04619-1329 |
| Street Address |
24 HOSPITAL LN |
| City | CALAIS |
| State | ME |
| Zip Code | 04619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001049 | Calais Regional Hospital | General Acute Care Hospital | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-23 |
| 1578109153 | Blake Jon Lundgren | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-11-19 |
| 1013552009 | Calais Emergency Physicians LLC | Emergency Medicine | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-11-13 |
| 1508425208 | Michael Steven Bodkin | Registered Nurse | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-06-07 |
| 1699339689 | Deborah Lee Harris | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-04-25 |
| 1043775463 | Candace Jean Kelley | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-02-11 |
| 1942765805 | Laura Marie Barnett | Occupational Therapist | 24 Hospital Ln, Calais, ME 04619-1398 | 2019-02-05 |
| 1073078184 | Emily Smith | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-02-02 |
| 1255895819 | Bruce R. Stevens | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
| 1801350319 | Morgan Ann Merchant | Occupational Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| 1114458080 | Helpinghand 643939nbltd | Homemaker | 295 North Street, Calis, ME 04619 | 2017-03-23 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1275820672 | Karen L Sears | Pharmacist | 223 and 233 North Street, Calais, ME 04619 | 2011-07-06 |
| 1376857458 | David L Wyman | Pharmacist | 223 and 233 North St, Rite Aid Pharmacy, Calais, ME 04619 | 2010-08-02 |
| 1902132038 | Brenda Ann Spear | Developmental Therapist | 23 Center Street, Baring Plt., ME 04619 | 2009-10-24 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1467540930 | Brian Earle Thompson | Social Worker | 55 Franklin Street, Eastport Health Care, Calais, ME 04619 | 2006-10-10 |
| 1588770689 | William Robert Gould | Dentist | 399 Main Steet, Calais, ME 04619 | 2006-08-22 |
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| Find all providers in zip 04619 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| 1780015107 | Calais Regional Hospital | Radiology | 24 Hospital Ln, Calais, ME 04619-1329 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922655562 | Insight-premier Health LLC | Radiology | 489 State St Ste 100, Bangor, ME 04401-6616 | 2019-08-19 |
| 1750873998 | Los Robles Radiologic Associates | Radiology | 30 Rosa Way, Cumberland, ME 04021-3527 | 2018-06-04 |
| 1407268857 | Lauren Fetty | Radiology | 731 Sligo Rd, North Yarmouth, ME 04097-6207 | 2014-05-20 |
| 1588096085 | Telerad of Me Account Management, LLC | Radiology | 67 Pepperrell Rd, Kittery Point, ME 03905 | 2013-08-07 |
| 1932454477 | Michael R Voth | Radiology | 13 Phillips Cove Rd, Cape Neddick, ME 03902-7356 | 2012-07-20 |
| 1831422377 | Edward Brewer | Radiology | 67 Pepperrell Road, Kittery Point, ME 03905 | 2009-09-16 |
| 1720259476 | John Henry Hotchkiss Iv | Radiology | 28 Market St Ste 201, Fort Kent, ME 04743-1417 | 2008-03-20 |
| 1174653778 | Robert P Andrews | Radiology | 2060 Dexter Rd, Dover Foxcroft, ME 04426-4021 | 2007-03-06 |
| 1366523235 | Cynthia S. Lyle | Radiology | 4 Berman Rd, Cape Elizabeth, ME 04107-2435 | 2006-10-18 |
| 1912092552 | Peter A Triolo | Radiology | 20 Hartford Street, Houlton, ME 04730-1859 | 2006-10-03 |
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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.