Town of North Haven
Organization Active NPI Community Health Clinic/Center · North Haven, ME
NPI 1306922281 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1306922281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- TOWN OF NORTH HAVEN
- Practice address
- 135 Main St.
North Haven, ME 04853 - Phone
- (207) 867-2021
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Patricia S. Curtis
- Title
- Clinic Administrator
- Phone
- (207) 867-4433
Member organizations 1
Practitioners 7
-
Lorraine M Reiser, FNP-C2
-
Gretchen C Schumacher, CRNP
-
Susan Ferra, FNP
-
Erwin L Morse, PA
-
Andrew F Zuber, PA-C
-
Lise A Desjardins, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0906075 | North Haven Medical Clinic | Certificate of waiver | Sep 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070328000461 | ME | Part B Supplier - Clinic/Group Practice | 9436067063 |
Receives reassigned benefits from 5 practitioners Practice locations: North Haven, ME |
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/11166/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
135 Main St.
North Haven, ME 04853
Mailing address
16 Town Office SQ.
PO Box 400
North Haven, ME 04853-0400
Phone (207) 867-4433
Other names
- North Haven Medical Clinic
Other providers in North Haven, ME
- Elizabeth Puryear Hill
- Msad 7
- Lorraine M Reiser
- Gretchen C Schumacher
- Southern Harbor Eldercare Services
- Town of North Haven
All providers in North Haven, ME · Community Health Clinic/Center in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.