NPIMap

Organization Active NPI

Sebasticook Family Doctors

  • Federally Qualified Health Center (FQHC)
  • Palmyra, ME
National Provider Identifier
1114774254
Registry record updated Apr 24, 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
55 Fletcher Dr
Palmyra, ME 04965
Phone
(207) 368-5189
Fax
(207) 368-4213
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

55 Fletcher Dr
Palmyra, ME 04965

Mailing address

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

Other practice location 1

118 Moosehead Trl
Newport, ME 04953-4055
Phone (207) 368-5189

Other names 1

  • Hometown Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000244 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: 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

Federally qualified health center certification: CCN 201842

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Hometown Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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 DirectorTreasurer Feb 1, 2008 9%
Deborah Wisdom Individual Corporate DirectorBoard Member May 25, 2016
James Lemieux Individual Corporate DirectorPresident/Board Member Jan 1, 2006 9%
Robin L Winslow Individual 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

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1114774254",
    "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": "55 FLETCHER DR",
            "city": "PALMYRA",
            "state": "ME",
            "postal_code": "04965",
            "telephone_number": "207-368-5189",
            "fax_number": "207-368-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Moosehead Trl",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "ME",
            "postal_code": "049534055",
            "country_code": "US",
            "telephone_number": "207-368-5189",
            "fax_number": "207-368-4213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEBASTICOOK FAMILY DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmyra, ME

Sources for this page

Verify at the official NPI Registry.