Organization Active NPI

Central Maine Medical Center

Doing business as Maine Urgent Care

  • Urgent Care Clinic/Center
  • Lewiston, ME
National Provider Identifier
1063136786
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CENTRAL MAINE MEDICAL CENTER
Doing business as
Maine Urgent Care
Practice address
685 Sabattus St
Lewiston, ME 04240-3831
Phone
(207) 795-5050
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL MAINE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Kristen R St Peter
Title
VP of Finance
Phone
(207) 795-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

685 Sabattus St
Lewiston, ME 04240-3831

Mailing address

29 Lowell St Ste 3
Lewiston, ME 04240-7600
Phone (603) 795-2154

Other names 1

  • Maine Urgent Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him_dept@cmhc.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000441 ME Part B Supplier - Clinic/Group Practice 2567379563 Receives reassigned benefits from 978 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewiston, ME; Topsham, ME; Auburn, ME

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Central Maine Medical Center

Locations

789 Minot Ave
Auburn, ME 04210
Phone (207) 795-8475

12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730

300 Main St
Slp Lab
Lewiston, ME 04240
Phone (207) 795-7522

76 High St
Fl 1
Lewiston, ME 04240
Phone (207) 795-2800

Practitioners & affiliated clinicians

Practitioners 143

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 143

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1063136786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LOWELL ST STE 3",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407600",
            "telephone_number": "603-795-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403831",
            "telephone_number": "207-795-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MAINE MEDICAL CENTER",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "ST PETER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "207-795-7124"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him_dept@cmhc.org",
            "affiliation": "N",
            "address_1": "685 Sabattus St",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042403831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maine Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.