Mainehealth

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MAINEHEALTH

Doing business as

MaineHealth Herbert and Roberta Watson Health Center

Practice address

24 Miles Center Way
Damariscotta, ME 04543-4067

Phone

(207) 563-4250

Fax

(207) 563-4246

NPI assigned

Nov 24, 2006

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MAINEHEALTHAs reported in NPPES

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

Authorized official

Name

Robert Hunter

Title

Senior Vice President

Phone

(207) 662-2272

Specialties & licenses 8

Addresses

Other identifiers 3

Other names 1

• MaineHealth Herbert and Roberta Watson Health Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477629384. Details of each certification follow.

• CCN 208510 Rural health clinic · Active · Details

Rural health clinic certification: CCN 208510

Legal name

MAINEHEALTH

Doing business as

MAINEHEALTH HERBERT AND ROBERTA WATSON HEALTH CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Oct 1, 2004

Last certification

Jan 7, 2025

Ownership / control type

2B

Most recent change of ownership

Jan 1, 2019 (2 total)

Organization structure

CorporationNon-profit

Incorporated

Mar 21, 1951 in ME

Enrollment address

24 Miles Center Way
Damariscotta, ME 04543-4067

Tax ID family

Maine Medical Assoc85 organizations share this tax ID, including this one

Part of

Maine Medical Assoc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Maine Medical Partners

  dba Family Practice Service

  • Family Medicine Physician
  • Portland, ME
  • NPI 1376551861
  NPD tax ID
• Mainehealth

  dba MaineHealth Lincoln Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
  • NPI 1316035116
  NPD tax ID
• Mainehealth

  dba Stephens Memorial Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Norway, ME
  • NPI 1316711971
  NPD tax ID
• Mainehealth

  dba MaineHealth Pharmacy Specialty and Home Delivery Westbrook

  • Mail Order Pharmacy
  • Westbrook, ME
  • NPI 1346158169
  NPD tax ID
• Mainehealth

  dba MMC Cardiology

  • Cardiovascular Disease Physician
  • Portland, ME
  • NPI 1346428745
  NPD tax ID
• Mainehealth

  dba Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1356821151
  NPD tax ID
• Mainehealth

  dba MaineHealth Nephrology

  • General Acute Care Hospital
  • Bath, ME
  • NPI 1386563013
  NPD tax ID
• Mainehealth

  dba Mainehealth Retail Pharmacy

  • Community/Retail Pharmacy
  • Rockport, ME
  • NPI 1396815106
  NPD tax ID
• Mainehealth

  dba The Pharmacy at Pen Bay Medical Center

  • Community/Retail Pharmacy
  • Rockport, ME
  • NPI 1407336209
  NPD tax ID
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Brunswick, ME
  • NPI 1427986827
  NPD tax ID
• Mainehealth

  dba MaineHealth Pharmacy Specialty and Home Delivery Westbrook

  • Community/Retail Pharmacy
  • Westbrook, ME
  • NPI 1437723822
  NPD tax ID
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1447623996
  NPD tax ID

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lisa T Beaule, MD

  • Urology Physician
  • South Portland, ME
  • NPI 1518913433

  Corporate Director

  CMS ownership
• Brett M Loffredo, MD

  • Family Medicine Physician
  • Gorham, ME
  • NPI 1295809911

  Corporate Director

  CMS ownership
• Daniel L Loiselle, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1316906589

  Corporate Director

  CMS ownership
• Peter C Manning, MD

  • Obstetrics & Gynecology Physician
  • Biddeford, ME
  • NPI 1902977077

  Corporate Director

  CMS ownership
• Thomas J Ryan Jr., M.D.

  • Interventional Cardiology Physician
  • Scarborough, ME
  • NPI 1326019563

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Lincolnhealth Coves Edge

  dba Coves Edge Nursing Facility

  • Nursing Facility/Intermediate Care Facility
  • Damariscotta, ME
  • NPI 1477648962

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Medd Health Center

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1053601864

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Franklin Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1245873082

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Primary Care Family Medicine

  • Rural Health Clinic/Center
  • Stockton Springs, ME
  • NPI 1295800118

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Lincoln Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
  • NPI 1316035116

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1346299815

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Arthur Jewell Health Center

  • Rural Health Clinic/Center
  • Brooks, ME
  • NPI 1487720215

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba Gregory Wing at St. Andrews Village

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
  • NPI 1528151065

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Behavioral Health at Spring Harbor

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1598798787

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth MT Blue Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1619510047

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Maine Medical Center

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1760436216

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Pediatrics

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1811288061

  Mainehealth Services

  CMS ownership

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1477629384",
    "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": "207-563-4146",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-563-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2006-11-24",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "207-662-2272"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477629384-007",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477629384-005",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477629384-006",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MaineHealth Herbert and Roberta Watson Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas H Lyons, MD
• Russell T Mack, MD
• James Ross Macmahon, M.D.
• Robin Maginn
• Mainehealth (MaineHealth Lincoln Hospital Swing Bed)
• Mainehealth (Lincoln Medical Partners)
• Mainehealth (MaineHealth Lincoln Hospital)
• Mark T. Mainella, D.O.
• Mainely Memory Foundation
• Jennifer Jean Maki, ANP-C

• Rural Health Clinic/Center in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Rural Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.