NPIMap

Organization Active NPI

Central Maine Medical Center

  • Rehabilitation Hospital Unit
  • Lewiston, ME
National Provider Identifier
1073651576
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CENTRAL MAINE MEDICAL CENTER
Practice address
300 Main St
Lewiston, ME 04240-7027
Phone
(207) 795-5709
NPI assigned
Feb 5, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL MAINE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Sue Morin
Title
Regional MGR Physician Prac. Suppor
Phone
(207) 795-5709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7027

Mailing address

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-5709

Other names 1

  • CMMC Rehabiliation Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509000376 ME Part A Provider - Hospital 2567379563 Practice locations: Lewiston, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073651576. Details of each certification follow.

Hospital certification: CCN 20T024

Legal name
CENTRAL MAINE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Dec 26, 1888 in ME
Enrollment address
300 Main St
Lewiston, ME 42407027
Other Hospital Practice Location
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Central Maine Rehabilitation CenterCCN 20T024 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1984

National Provider Directory

National Provider Directory
Part of
Central Maine Medical Center

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Central Maine Healthcare Corporation Organization, Lewiston, ME Corporation Operational/Managerial Control Jan 1, 1996
David P Paulosky Individual Corporate OfficerTreasurer Oct 2, 2022
W-2 Managing EmployeeChief Financial Officer Jun 13, 2022
Steven G Littleson Individual Corporate OfficerCeo Oct 1, 2021
W-2 Managing EmployeeCeo May 11, 2020
Devore S Culver Individual Corporate DirectorBoard Member Aug 29, 2018
John McAnuff Individual Corporate DirectorBoard Member Oct 2, 2019
Kenneth H Webb Individual Corporate DirectorBoard Member Mar 1, 2023
David Luke Salko Individual Corporate DirectorBoard Member Jan 1, 2021
Linda N Pepin Individual Corporate Director Mar 1, 2023
Eric French Individual W-2 Managing EmployeeDirector Financial Planning & Reimb Nov 15, 2021
Kristen R St. Peter Individual W-2 Managing EmployeeVice President Finance Mar 8, 2021
James R Martin Individual Corporate Director Mar 1, 2023
Hector M Tarraza Individual Corporate DirectorBoard Member Jan 1, 2021
Geoffrey Swift Individual Corporate DirectorBoard Member Jan 1, 2018
Marney H Chalmers Individual Corporate DirectorBoard Member Jan 1, 2021
Austin R Albert Individual Corporate DirectorBoard Member Jan 1, 2018
Louis E Silverman Individual Corporate DirectorBoard Member Jan 1, 2021
Laurence M Merlis Individual Corporate Director Mar 1, 2023
Elizabeth Shew Individual Corporate OfficerSecretary Mar 1, 2022
W-2 Managing EmployeeChief Legal and Compliance Officer Nov 2, 2020

Owners & managing parties with NPI records 2

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 5

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1073651576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MAINE MEDICAL CENTER",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "REGIONAL MGR PHYSICIAN PRAC. SUPPOR",
        "authorized_official_telephone_number": "207-795-5709"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMMC Rehabiliation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.