NPIMap

Organization Active NPI

Houlton Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houlton, ME
National Provider Identifier
1013355254
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
37682 Issued in ME
Legal business name
HOULTON REGIONAL HOSPITAL
Practice address
20 Hartford St
Houlton, ME 04730-1891
Phone
(207) 532-2900
Fax
(207) 532-5974
NPI assigned
Jun 10, 2013
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Zewe
Title
Ceo
Phone
(207) 521-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 37682 ME Primary

Addresses

Primary practice location

20 Hartford St
Houlton, ME 04730-1891

Mailing address

20 Hartford St
Houlton, ME 04730-1891
Phone (207) 532-2900

Other names 1

  • Swing Bed Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210622000495 ME Part A Provider - Critical Access Hospital 0042127946 Practice locations: Houlton, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013355254. Details of each certification follow.

Hospital certification: CCN 20Z308

Legal name
HOULTON REGIONAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Feb 19, 1972 in ME
Enrollment address
20 Hartford St
Houlton, ME 47301891
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

114 North St
Houlton, ME 04730
Phone (207) 532-4000

15 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy Ketch Individual Corporate DirectorBoard Member Mar 1, 2006
Gary Bossie Individual Corporate DirectorBoard Member Mar 1, 2012
Thomas Moakler Individual Corporate OfficerCeo Jul 1, 1996
Operational/Managerial Control Jul 9, 2013
Hassan Abouleish Individual Corporate DirectorBoard Member Mar 1, 2006
Cynthia Thompson Individual Corporate DirectorCfo Oct 11, 2011
Operational/Managerial ControlCfo Oct 1, 2011
Brian S Griffin Individual Contracted Managing Employee Mar 1, 2006
Corporate DirectorBoard Member Jan 1, 2011
Scott Allen Individual Corporate Director Mar 1, 2018
Douglas Hazlett Individual Corporate DirectorBoard Member Jun 1, 2011
Karl Philip Woods Individual Corporate DirectorBoard Member Mar 1, 2012
Ellen Halliday Individual Corporate Director Mar 1, 2019
Lynette McLaughlin Individual Corporate DirectorBoard Member Mar 4, 2004
Solomon B Olabiyi Individual Corporate Director Mar 1, 2018
Max Lynds Individual Corporate DirectorBoard Member Mar 1, 2006

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 186

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1013355254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301891",
            "telephone_number": "207-532-2900",
            "fax_number": "207-532-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301891",
            "telephone_number": "207-532-2900",
            "fax_number": "207-532-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOULTON REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "ZEWE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-521-2152"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ME",
            "license": "37682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.