Bucksport Regional Health Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BUCKSPORT REGIONAL HEALTH CENTER

Practice address

110 Broadway
Bucksport, ME 04416-4612

Phone

(207) 469-7371

Fax

(207) 469-7306

NPI assigned

Jan 23, 2009

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BUCKSPORT REGIONAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Carol Carew, RN, BSN, MBA

Title

Ceo

Phone

(207) 469-7371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Bucksport, ME
  • NPI 1043271133

  9638135858

  Same PAC ID
• Bucksport Regional Health Center

  dba BRHC Coastal Pharmacy

  • Community/Retail Pharmacy
  • Bucksport, ME
  • NPI 1194561837

  9638135858

  Same PAC ID
• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Ellsworth, ME
  • NPI 1568125011

  9638135858

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bucksport Reg Health Center3 organizations share this tax ID, including this one

Part of

Bucksport Reg Health Center

Other organizations with this tax ID 2

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

• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Ellsworth, ME
  • NPI 1568125011
  NPD tax ID
• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Ellsworth, ME
  • NPI 1992412787
  NPD tax ID

Locations

Practitioners 1

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.

• Mary E Jude, FNP

  • Family Nurse Practitioner
  • Bangor, ME
  • NPI 1720183007
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1457599813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BROADWAY",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044164612",
            "telephone_number": "207-469-7371",
            "fax_number": "207-469-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BROADWAY",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044164612",
            "telephone_number": "207-469-7371",
            "fax_number": "207-469-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Commerce Park",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046053383",
            "country_code": "US",
            "telephone_number": "207-469-7371",
            "fax_number": "207-469-7306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUCKSPORT REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUCKSPORT REGIONAL HEALTH CENTER",
        "enumeration_date": "2009-01-23",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-469-7371",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvard Samuel Bridges
• Caitlin Brittelli
• Bucksport Physical Therapy, LLC
• Bucksport Regional Health Center
• Bucksport Regional Health Center (BRHC Coastal Pharmacy)
• Bucksport School Department
• Bucksport School Dept
• Elizabeth Bunker
• Jackie L Buotte, LCPCC
• Karen Calcott, MD

• Clinical Medical Laboratory in Bucksport, ME
• Providers in Bucksport, ME by specialty
• Clinical Medical Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.