NPIMap

Organization Active NPI

St. Mary'S Regional Medical Center

  • Urgent Care Clinic/Center
  • Auburn, ME
National Provider Identifier
1407242522
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ST. MARY'S REGIONAL MEDICAL CENTER
Practice address
791 Turner St
Unit 2
Auburn, ME 04210-6314
Phone
(207) 330-3900
Fax
(207) 330-3940
NPI assigned
Apr 15, 2015
Organization subpart
Yes
Parent organization
ST. MARY'S REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mr. Donald H Bevers Jr.
Title
Chief Financial Officer
Phone
(207) 777-8865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 38244 ME
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

791 Turner St
Unit 2
Auburn, ME 04210-6314

Mailing address

PO Box 95000 LBX 7650
Philadelphia, PA 19195-0001

Other names 1

  • St. Mary's Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000236 ME Part B Supplier - Clinic/Group Practice 0042107120 Receives reassigned benefits from 407 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewiston, ME; Poland, ME; Portland, ME; Rumford, ME; Auburn, ME

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
St Marys Regl Medical

Locations

15 Gracelawn Rd
Auburn, ME 04210
Phone (207) 333-4799

3 Willow Run
Auburn, ME 04210
Phone (207) 513-3550

102 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4200

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 112

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

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1407242522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LBX 7650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 TURNER ST",
            "address_2": "UNIT 2",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106314",
            "telephone_number": "207-330-3900",
            "fax_number": "207-330-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S REGIONAL MEDICAL CENTER",
        "enumeration_date": "2015-04-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BEVERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-777-8865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ME",
            "license": "38244",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Mary's Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.