MAINEHEALTH (NPI# 1962573337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962573337 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | LMP FAMILY MEDICINE WALDOBORO |
| Practice Address |
592 W Main St Waldoboro ME 04572-6030 |
| Mailing Address |
Po Box 745 Newcastle ME 04553-0745 |
| Practice Telephone | 2078326394 |
| Practice Fax Number | 2078324392 |
| Mailing Telephone | 2075634146 |
| Mailing Fax Number | 2075634103 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE, CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | PA289 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA603 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1962573337-001 | 05 |
| Other Name | Type Code |
|---|---|
| LMP Family Medicine Waldoboro | 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 |
592 W MAIN ST |
| City | WALDOBORO |
| State | ME |
| Zip Code | 04572-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159233 | John Marley Dickens | General Practice | 592 W Main St, Waldoboro, ME 04572-6030 | 2005-07-22 |
| 1427598739 | Cassandra June Hotaling-hahn | Physician Assistant | 592 W Main St, Waldoboro, ME 04572-6030 | 2017-03-06 |
| 1215125802 | Katherine Ames | Social Worker | 592 W Main St, Waldoboro, ME 04572-6030 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124362934 | Community Pharmacies, LLC. | Durable Medical Equipment & Medical Supplies | 5 Friendship Street, Waldoboro, ME 04572 | 2012-11-16 |
| 1518286400 | Sharon A Keisch | Acupuncturist | 251 Jefferson St Ste 202, Waldoboro, ME 04572 | 2010-05-18 |
| 1215261441 | Dr. Joseph P. Flanagan | Dentist | 40 Friendship St, Waldoboro, ME 04572 | 2009-09-21 |
| 1174700603 | Denis Edward Beaudoin | Dentist | 878 Main St, Waldoboro, ME 04572 | 2008-01-28 |
| 1467650168 | Erek S. Sherin | Psychologist | 24 Glidden St, Waldoboro, ME 04572 | 2007-07-05 |
| 1285792655 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 5 Friendship St, Waldoboro, ME 04572 | 2006-12-05 |
| 1720240880 | Megan Esther Beryl Mayo | Massage Therapist | 290 Bremen Rd, Waldoboro, ME 04572 | 2008-06-30 |
| 1518127778 | Pamela Kathryn Simmons | Massage Therapist | 290 Bremen Rd, Waldoboro, ME 04572 | 2008-06-11 |
| 1518127901 | Tiffany Alaina Willey | Massage Therapist | 290 Bremen Rd, Waldoboro, ME 04572 | 2008-06-10 |
| 1063671097 | Kathryn Timm Sherman | Massage Therapist | 290 Bremen Rd, Waldoboro, ME 04572 | 2008-06-05 |
| Find all providers in zip 04572 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1902841083 | Rumford Community Family Health Center, Inc. | Clinic/Center | 146 Weld St, Dixfield, ME 04224-9614 | 2006-06-20 |
| 1871568766 | Rockomeka Family Practice LLC | Clinic/Center | 38 Union Street, Livermore Falls, ME 04254 | 2006-02-22 |
| 1851397475 | Down East Community Hospital | Clinic/Center | 24 School St, Milbridge, ME 04658-0005 | 2005-06-28 |
| 1295367803 | Sebasticook Valley Health | Clinic/Center | 26 Main St Ste 2, Newport, ME 04953-4163 | 2020-02-11 |
| 1245873082 | Mainehealth | Clinic/Center | 181 Franklin Health Commons, Farmington, ME 04938 | 2019-10-24 |
| 1619510047 | Mainehealth | Clinic/Center | 131 Franklin Health Cmns, Farmington, ME 04938-6142 | 2019-10-17 |
| 1811451081 | Mainehealth | Clinic/Center | 21 Main St, Livermore Falls, ME 04254-1219 | 2019-01-22 |
| 1922550417 | Down East Community Hospital | Clinic/Center | 70 Snare Creek Ln, Jonesport, ME 04649-3139 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAINEHEALTH.
| 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.