NPIMap

Organization Active NPI

Health Access Network, Inc.

Doing business as Health Access Family Dental

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
National Provider Identifier
1295993616
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH ACCESS NETWORK, INC.
Doing business as
Health Access Family Dental
Practice address
9 Main St
Suite B
Lincoln, ME 04457
Phone
(207) 794-6700
Fax
(207) 794-8792
NPI assigned
Jun 2, 2008
Last updated
Aug 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH ACCESS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Nicole Morrison, RN
Title
Ceo
Phone
(207) 794-6700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Dentist 122300000X

Addresses

Primary practice location

9 Main St
Suite B
Lincoln, ME 04457

Mailing address

9 Main St
Suite B
Lincoln, ME 04457-1216
Phone (207) 794-6700

Other identifiers 1

IdentifierTypeStateIssuer
161040200MedicaidME

Other names 1

  • Health Access Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Access Network Inc5 organizations share this tax ID, including this one
Part of
Health Access Network Inc

Other organizations with this tax ID 4

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

Locations

252 Enfield Rd
#4
Lincoln, ME 04457

252 Enfield Rd
Ste 4
Lincoln, ME 04457

252 Enfield Rd
Ste 6
Lincoln, ME 04457
Phone (207) 791-8475

9 Main St
Ste B
Lincoln, ME 04457

1930 Medway Rd
Medway, ME 04460

200 Somerset St
Ste 2
Millinocket, ME 04462
Phone (207) 723-5173

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1295993616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE B",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571216",
            "telephone_number": "207-794-6700",
            "fax_number": "207-794-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE B",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "04457",
            "telephone_number": "207-794-6700",
            "fax_number": "207-794-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ACCESS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH ACCESS NETWORK",
        "enumeration_date": "2008-06-02",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-794-6700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161040200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Access Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Access Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.