Organization Active NPI

Nehe-MRI, L.L.C.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Presque Isle, ME
National Provider Identifier
1356342273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
1038924 Issued in ME
Legal business name
NEHE-MRI, L.L.C.
Practice address
260 Main St
Suite a
Presque Isle, ME 04769-2804
Phone
(207) 764-6121
Fax
(207) 764-1942
NPI assigned
Aug 2, 2005
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
Mr. Randy Bacon
Title
Executive Vice President
Phone
(207) 764-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 1038924 ME Primary

Addresses

Primary practice location

260 Main St
Suite a
Presque Isle, ME 04769-2804

Mailing address

260 Main St
Suite a
Presque Isle, ME 04769-2804
Phone (207) 764-6121

Other identifiers 1

IdentifierTypeStateIssuer
2140797OtherMEAETNA PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

260 Main St
Ste A
Presque Isle, ME 04769
Phone (207) 764-6121

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356342273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "address_2": "SUITE A",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692804",
            "telephone_number": "207-764-6121",
            "fax_number": "207-764-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "address_2": "SUITE A",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692804",
            "telephone_number": "207-764-6121",
            "fax_number": "207-764-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHE-MRI, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "207-764-6121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "ME",
            "license": "1038924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2140797",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, 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.