NPIMap

Organization Active NPI

Sebasticook Family Doctors

  • Federally Qualified Health Center (FQHC)
  • Newport, ME
National Provider Identifier
1063464634
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEBASTICOOK FAMILY DOCTORS
Practice address
118 Moosehead TRL
Suite 5
Newport, ME 04953-4020
Phone
(207) 368-4213
Fax
(207) 355-3033
NPI assigned
May 16, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Robin Winslow
Title
Chief Operating Officer
Phone
(207) 368-4213

Other NPIs on the same Medicare enrollment 4

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

Other NPIs with the same Medicare PAC ID 3

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

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME3 enrollments

Federally qualified health center certification: CCN 201843

Medicare enrollment files
Legal name
SEBASTICOOK FAMILY DOCTORS
Doing business as
HOMETOWN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 4, 2004
Last certification
Mar 4, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2003 in ME
Enrollment address
29 Church St
Dexter, ME 49301320

Federally qualified health center certification: CCN 201842

Medicare enrollment files
Legal name
SEBASTICOOK FAMILY DOCTORS
Doing business as
HOMETOWN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 2, 2004
Last certification
Mar 2, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2003 in ME
Enrollment address
118 Moosehead TRL
Ste 5
Newport, ME 49534056

All disclosed owners & managing parties 10

Medicare enrollment files

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

NameRoleSinceShare
Dawn Gordon Individual Corporate DirectorBoard Member Feb 15, 2009
James Burns Individual Corporate Director May 1, 2008
Corporate DirectorTreasurer Feb 1, 2008 9%
Deborah Wisdom Individual Corporate DirectorBoard Member May 25, 2016
James Lemieux Individual Corporate Director Jan 1, 2006
Corporate DirectorPresident/Board Member Jan 1, 2006 9%
Robin L Winslow Individual Corporate OfficerCeo Jan 27, 2004
W-2 Managing Employee Jan 27, 2004
Corporate OfficerCeo Jun 12, 2009
W-2 Managing EmployeeCeo Jan 27, 2004
Operational/Managerial ControlCeo Jan 27, 2004
John Parola Individual Corporate DirectorBoard Member Jul 29, 2019
Frank Haseltine Individual Corporate DirectorBoard Member Apr 25, 2023
Marjorie Downing Individual Corporate DirectorBoard Member May 28, 2019
Michael Wiers Individual Corporate DirectorBoard Member May 25, 2016
Jody Fernald Individual Corporate DirectorBoard Member Jun 25, 2019

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040224001329 ME Part a Provider - Federally Qualified Health Center (FQHC) 8224924576 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dexter, ME
O20040225000244 ME Part a Provider - Federally Qualified Health Center (FQHC) 8224924576 1 other NPI on this enrollment
Practice locations: Newport, ME
O20040527000160 ME Part B Supplier - Clinic/Group Practice 8224924576 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dexter, ME; Newport, ME; Palmyra, ME

National Provider Directory

National Provider Directory

Locations

118 Moosehead Trl
Newport, ME 04953
Phone (207) 368-5189

291 Williams Rd
#2
Newport, ME 04953

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

118 Moosehead TRL
Suite 5
Newport, ME 04953-4020

Mailing address

55 Fletcher Dr
Palmyra, ME 04965
Phone (207) 368-5189

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
MM9313OtherMEMEDICARE B GROUP NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2026.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1063464634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FLETCHER DR",
            "city": "PALMYRA",
            "state": "ME",
            "postal_code": "04965",
            "telephone_number": "207-368-5189",
            "fax_number": "207-368-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL",
            "address_2": "SUITE 5",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534020",
            "telephone_number": "207-368-4213",
            "fax_number": "207-355-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTICOOK FAMILY DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "207-368-4213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B GROUP NUMBER",
            "identifier": "MM9313",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

Verify at the official NPI Registry.