Maine Coast Healthcare Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAINE COAST HEALTHCARE CORPORATION

Practice address

50 Union St
Ellsworth, ME 04605-1534

Phone

(207) 664-5304

Fax

(207) 664-5305

NPI assigned

Apr 17, 2014

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles D Therrien

Title

Ceo/President

Phone

(207) 664-5301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1053731026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-664-5304",
            "fax_number": "207-664-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-664-5304",
            "fax_number": "207-664-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE COAST HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "THERRIEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "207-664-5301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howard Mackey III, CRNA
• Rebecca Kate Maclean, MS, RD, CSO, LD
• Justice Maddocks-Wilbur
• Gail E Maddocks, RDH
• Maine Coast Hand and Shoulder, P.C.
• Maine Coast Physician Affiliates (Maine Coast Medical Supply)
• Maine Coast Regional Health Facilities (Maine Coast Memorial Hospital)
• Maine Coast Regional Health Facilities
• Maine Coast Regional Health Facilities (Northern Light Maine Coast Hospital)
• Maine Medical Services LLC

• Dental Clinic/Center in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.