Organization Active NPI

Western Mountain Surgical Care, P.a.

  • Rural Acute Care Hospital
  • Farmington, ME
National Provider Identifier
1184716094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
006233 Issued in ME
Legal business name
WESTERN MOUNTAIN SURGICAL CARE, P.A.
Practice address
167 Livermore Falls Rd
Suite 1
Farmington, ME 04938-9654
Phone
(207) 778-6579
Fax
(207) 778-6409
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David C Dixon, M.D.
Title
President
Phone
(207) 778-6579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 006233 ME Primary

Addresses

Primary practice location

167 Livermore Falls Rd
Suite 1
Farmington, ME 04938-9654

Mailing address

167 Livermore Falls Rd
Suite 1
Farmington, ME 04938-9654
Phone (207) 778-6579

National Provider Directory

National Provider Directory
Tax ID family
Western Mountain Surgical Care PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184716094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LIVERMORE FALLS RD",
            "address_2": "SUITE 1",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049389654",
            "telephone_number": "207-778-6579",
            "fax_number": "207-778-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 LIVERMORE FALLS RD",
            "address_2": "SUITE 1",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049389654",
            "telephone_number": "207-778-6579",
            "fax_number": "207-778-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MOUNTAIN SURGICAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-778-6579",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "ME",
            "license": "006233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.