NPIMap

Organization Active NPI

Healthreach Community Health Centers

Doing business as Madison Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison, ME
National Provider Identifier
1184698441
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
E58728 Issued in ME
Legal business name
HEALTHREACH COMMUNITY HEALTH CENTERS
Doing business as
Madison Area Health Center
Practice address
8 S Main St
Madison, ME 04950-4501
Phone
(207) 696-3992
Fax
(207) 696-5434
NPI assigned
Feb 14, 2006
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Constance R Coggins
Title
President/Ceo
Phone
(207) 872-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X E58728 ME Primary

Addresses

Primary practice location

8 S Main St
Madison, ME 04950-4501

Mailing address

8 S Main St
PO Box 200
Madison, ME 04950-4501
Phone (207) 696-3992

Other identifiers 1

IdentifierTypeStateIssuer
137970104MedicaidME

Other names 1

  • Madison Area 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
O20050830000514 ME Part B Supplier - Clinic/Group Practice 5496726523 Receives reassigned benefits from 10 practitioners
Practice locations: Madison, ME
O20101101000594 ME Part A Provider - Federally Qualified Health Center (FQHC) 5496726523 Practice locations: Madison, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184698441. Details of each certification follow.

Federally qualified health center certification: CCN 201805

Legal name
HEALTHREACH COMMUNITY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1999 in ME
Enrollment address
8 S Main St
Madison, ME 49504501

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
Healthreach Community Health Centers8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

7 School St
#1
Albion, ME 04910
Phone (207) 437-9388

25 Depot St
Kingfield, ME 04947
Phone (207) 237-2658

8 S Main St
Madison, ME 04950
Phone (207) 696-3992

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Michelle Kelley Individual Corporate DirectorBoard Member Jan 3, 2023
Karen Sennett Individual Corporate DirectorBoard Member Jan 1, 2026
Jenny M Boyden Individual Corporate DirectorBoard Member Jan 1, 2024
Joanne E a Joy Individual Corporate DirectorBoard Member Jan 1, 2026
Melinda Corey Individual Corporate DirectorBoard Member Jan 1, 2026
James C Higgins Individual Corporate DirectorBoard Member Jan 3, 2023
Susan Tedrick Individual Corporate DirectorBoard Member Jan 8, 2025
John Opperman Individual Corporate Director Jan 1, 2022
Buffy Higgins Individual Corporate DirectorBoard Member Mar 26, 2025
Donna Williams Individual Corporate OfficerFinance Director Jul 1, 2019
W-2 Managing EmployeeFinance Director Jul 1, 2019
Paul Forman Individual Corporate DirectorBoard Member Oct 1, 2025
Constance Coggins Individual Corporate OfficerPresident/Ceo Oct 27, 2006
Paula Callan Individual Corporate DirectorBoard Member Mar 26, 2025

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1184698441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "address_2": "PO BOX 200",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "049504501",
            "telephone_number": "207-696-3992",
            "fax_number": "207-696-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "049504501",
            "telephone_number": "207-696-3992",
            "fax_number": "207-696-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHREACH COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "207-872-5610"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "ME",
            "license": "E58728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137970104",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Area Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, ME

Sources for this page

Verify at the official NPI Registry.