NPIMap

Organization Active NPI

Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
National Provider Identifier
1265443196
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
36324 Issued in ME
Legal business name
MILLINOCKET REGIONAL HOSPITAL
Practice address
200 Somerset St
Millinocket, ME 04462-1258
Phone
(207) 723-5161
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mrs. Marie Vienneau, CEO
Title
Ceo
Phone
(207) 723-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 36324 ME Primary

Addresses

Primary practice location

200 Somerset St
Millinocket, ME 04462-1258

Mailing address

200 Somerset St
Millinocket, ME 04462-1258
Phone (207) 723-5161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000093 ME Part A Provider - Critical Access Hospital 3779491212 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Millinocket, ME

Hospital certification: CCN 201307

Legal name
MILLINOCKET REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2002
Last certification
May 15, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
200 Somerset St
Millinocket, ME 44621258
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Millinocket Regional HospitalCCN 201307
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/millin-5897075c

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Frederick Lewis Individual Corporate Director Sep 1, 1996
Mary Alice Cullen Individual Corporate Director Jul 1, 2023
Edward J Dunstan Individual Corporate Director Jul 1, 2023
Thomas Malcolm Individual Corporate Director Jan 1, 2006
Richard W Angotti Individual Corporate Director Jul 1, 2023
Mellissa a McAvoy Individual Corporate OfficerCeo Jul 2, 2026
Andrea M Sewall Individual Corporate Director Nov 1, 2022
Sherrie L Pelletier Individual W-2 Managing EmployeeAdministrator Physician Practices/C Dec 31, 1991 5%
Gail Fanjoy Individual Corporate Director Jan 1, 2009

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 73

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1265443196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLINOCKET REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "VIENNEAU",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-723-5161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ME",
            "license": "36324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

Verify at the official NPI Registry.