H. D. Goodall Hospital, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

2264 Issued in ME

Legal business name

H. D. GOODALL HOSPITAL, INC.

Practice address

25 June St
Sanford, ME 04073-2621

Phone

(207) 324-4310

NPI assigned

Apr 28, 2009

Organization subpart

Yes

Parent organization

H. D. GOODALL HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

Mr. Ron Bryant

Title

Chief Financial Officer

Phone

(207) 324-4310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillcrest Gardens Other name

Tax ID family

H D Goodall Hospital Inc2 organizations share this tax ID, including this one

Part of

H D Goodall Hospital Inc

Other organizations with this tax ID 1

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

• H. D. Goodall Hospital Inc.

  • Custodial Care Facility
  • Sanford, ME
  • NPI 1730323262
  NPD tax ID

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1487898912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-324-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-324-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. D. GOODALL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H. D. GOODALL HOSPITAL, INC",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-324-4310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "ME",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101480201",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Gardens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greenwood Nursing Care Center, Inc
• Holly Marie Grovo, R.D.H B.S
• Marie A Guay, DO
• Jacqueline Guillemette, OTRL, CHT
• H. D. Goodall Hospital Inc.
• Michelle Hackett
• Amanda Hall, PTA
• Linda Hall
• Julianne Catherine Hanley, DMD
• Hannaford Bros Co LLC

• Custodial Care Facility in Sanford, ME
• Providers in Sanford, ME by specialty
• Custodial Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.