Organization Active NPI

Miles Memorial Hospital

Doing business as Dba Miles Emergency Dept

  • Emergency Medicine Physician
  • Damariscotta, ME
National Provider Identifier
1366605909
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
FN1010 Issued in ME
Legal business name
MILES MEMORIAL HOSPITAL
Doing business as
Dba Miles Emergency Dept
Practice address
35 Miles St
Damariscotta, ME 04543-4047
Phone
(207) 563-1234
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MILES MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Stacey Miller Friant
Title
VP-Physician Services
Phone
(207) 563-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X FN1010 ME Primary

Addresses

Primary practice location

35 Miles St
Damariscotta, ME 04543-4047

Mailing address

PO Box 745
Newcastle, ME 04553-0745
Phone (207) 563-4511

Other names 1

  • DBA MILES EMERGENCY DEPT Doing business as

National Provider Directory

National Provider Directory
Part of
Seacove Medical Equipme

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1366605909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045530745",
            "telephone_number": "207-563-4511",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILES ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434047",
            "telephone_number": "207-563-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILES MEMORIAL HOSPITAL",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "FRIANT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "VP-PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "207-563-4383"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "FN1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA MILES EMERGENCY DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.