Organization Active NPI

Mainehealth

Doing business as MaineHealth Arthur Jewell Health Center

  • Rural Health Clinic/Center
  • Brooks, ME
National Provider Identifier
1487720215
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
36424
Legal business name
MAINEHEALTH
Doing business as
MaineHealth Arthur Jewell Health Center
MaineHealth Primary Care Family Medicine
Practice address
55 Reynolds Road
Brooks, ME 04921
Phone
(207) 722-3488
Fax
(207) 722-3183
NPI assigned
Nov 24, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MAINEHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Robert A Hunter
Title
Senior VP of Finance
Phone
(207) 662-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 36424 Primary

Addresses

Primary practice location

55 Reynolds Road
Brooks, ME 04921

Mailing address

PO Box 159
Brooks, ME 04921-0159
Phone (207) 722-3488

Other identifiers 1

IdentifierTypeStateIssuer
101570201MedicaidME

Other names 2

  • MaineHealth Arthur Jewell Health Center Doing business as
  • MaineHealth Primary Care Family Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181105001616 ME Part A Provider - Rural Health Clinic 7517860588 Practice locations: Brooks, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487720215. Details of each certification follow.

Rural health clinic certification: CCN 203983

Legal name
MAINEHEALTH
Doing business as
MAINEHEALTH ARTHUR JEWELL HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 1999
Last certification
Jan 9, 2025
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2019 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1951 in ME
Enrollment address
55 Reynolds Rd
Brooks, ME 04921-3637

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0089238Mainehealth Primary Care Family Medicine Brooks55 Reynolds Road, Brooks, ME 04921Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mainehealth85 organizations share this tax ID, including this one
Part of
Mainehealth

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.

View all 24

Locations

181 Franklin Health Cmns
#3
Farmington, ME 04938

92 Campus Dr
Ste A
Scarborough, ME 04074
Phone (207) 885-0011

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
Nancy a Hasenfus Individual Corporate DirectorBoard of Director Jan 1, 2019
Brett Loffredo Individual Corporate DirectorBoard of Director Jan 1, 2019
Brian H Noyes Individual Corporate DirectorBoard of Director Jan 1, 2019
Dawn M Tutt Individual W-2 Managing Employee Jan 1, 2019
Marie J McCarthy Individual Corporate DirectorBoard of Director Jan 1, 2019
Matthew Chin Individual Corporate DirectorBoard Member Oct 1, 2025
Katherine B Coster Individual Corporate DirectorBoard of Director Jan 1, 2019
Beth Kelsch Individual Corporate OfficerSecretary Jan 1, 2019
Robert Hunter Individual Corporate OfficerSenior Vice President Oct 1, 2025
Ann W Bresnahan Individual Corporate DirectorBoard Member Oct 1, 2023
Christopher Cimino Individual Corporate DirectorBoard Member Oct 1, 2025
Andrew T Mueller Individual Corporate OfficerCeo Apr 8, 2021
Lisa T Beaule Individual Corporate DirectorBoard of Director Jan 1, 2019
Charles Richard Bayman Individual Corporate OfficerCfo Jan 1, 2025
Corporate DirectorCfo Jan 1, 2025
Kelly a Elkins Individual Corporate OfficerCoo Jan 1, 2019
Jennifer Kent Individual Corporate DirectorBoard Member Oct 1, 2025
Peter W Wood Individual Corporate DirectorDirector Jan 1, 2019
Thomas J Ryan Individual Corporate Director Jan 1, 2019
David J Kumaki Individual Corporate DirectorBoard of Director Jan 1, 2019
Quincy Hentzel Individual Corporate DirectorBoard Member Oct 1, 2025
Morris L Fisher Individual Corporate DirectorBoard of Director Jan 1, 2019
Leslie Clinton Boothby Individual Corporate DirectorBoard of Director Jan 1, 2019
Kathleen Herlihy Individual Corporate DirectorBoard of Director Jan 1, 2019
Mainehealth Services Organization, Portland, ME Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Linda M. Terry Individual Corporate DirectorDirector Jan 1, 2019
Heather R Shanklin Individual Corporate OfficerRegional Cfo Jan 1, 2019
Peter C Manning Individual Corporate DirectorBoard of Director Jan 1, 2019
Alissa Chasse Individual W-2 Managing EmployeeRCM Systems Coordinator II Dec 30, 2013
Daniel L Loiselle Individual Corporate DirectorBoard of Director Jan 1, 2019
Matthew P Orlando Individual Corporate DirectorBoard Member Oct 1, 2024
Stuart H Watson Individual Corporate DirectorBoard of Director Jan 1, 2021
Amanda Rand Individual Corporate DirectorDirector Jan 1, 2019

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Mid Coast Senior Health CenterBrunswick, ME, CCN 205163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2021
Oct 16, 2025
Coves EdgeDamariscotta, ME, CCN 205067 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 2019
Jan 1, 2019
Jan 1, 2019

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1487720215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BROOKS",
            "state": "ME",
            "postal_code": "049210159",
            "telephone_number": "207-722-3488",
            "fax_number": "207-722-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 REYNOLDS ROAD",
            "city": "BROOKS",
            "state": "ME",
            "postal_code": "04921",
            "telephone_number": "207-722-3488",
            "fax_number": "207-722-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2006-11-24",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR VP OF FINANCE",
        "authorized_official_telephone_number": "207-662-2272"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": "36424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101570201",
            "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 Arthur Jewell Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth Primary Care Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooks, ME

Sources for this page

Verify at the official NPI Registry.