NPIMap

Organization Active NPI

York County Community Action Corp

Doing business as York County Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Springvale, ME
National Provider Identifier
1497923916
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YORK COUNTY COMMUNITY ACTION CORP
Doing business as
York County Community Health Care
Practice address
15 Oak St
Springvale, ME 04083-1926
Phone
(207) 490-6900
Fax
(207) 324-0546
NPI assigned
Feb 19, 2008
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Laurie Melanson
Title
Director Revenue Integirty
Phone
(207) 459-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

15 Oak St
Springvale, ME 04083-1926

Mailing address

PO Box 72
Sanford, ME 04073-0072
Phone (207) 324-5762

Other identifiers 1

IdentifierTypeStateIssuer
000216073MedicaidME

Other names 1

  • York County Community Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050324001192 ME Part A Provider - Federally Qualified Health Center (FQHC) 5496701153 Practice locations: Springvale, ME
O20090225000610 ME Part B Supplier - Clinic/Group Practice 5496701153 Receives reassigned benefits from 24 practitioners
5 other NPIs on this enrollment
Practice locations: Biddeford, ME; Springvale, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497923916. Details of each certification follow.

Federally qualified health center certification: CCN 201849

Legal name
YORK COUNTY COMMUNITY ACTION CORP
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 23, 2005
Last certification
May 23, 2005
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 17, 1965 in ME
Enrollment address
15 Oak St
Springvale, ME 40831926

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

388 Somersworth Rd
North Berwick, ME 03906
Phone (207) 676-2175

6 Spruce St
Sanford, ME 04073
Phone (207) 324-5762

15 Oak St
Springvale, ME 04083
Phone (207) 490-6900

474 Main St
Springvale, ME 04083
Phone (207) 324-1500

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Donald S Burns Individual Corporate DirectorBoard Member Mar 1, 1999
William Mondor Individual Corporate DirectorBoard Member Nov 1, 2022
Liam Lafountain Individual Corporate DirectorBoard Member Nov 1, 2022
Laurie Melanson Individual Corporate OfficerDirector of Revenue Aug 1, 2022
W-2 Managing EmployeeDirector of Revenue Aug 1, 2022
Megan Rochelo Individual Corporate DirectorBoard Member Nov 1, 2022
Ayn Hanselmann Individual Corporate DirectorBoard Member Nov 17, 2022
Elizabeth Kelly Individual Corporate DirectorBoard Member; Vice President Oct 1, 2015
Jane McCabe Individual Corporate DirectorBoard Member Oct 1, 2012
Grady Collins Individual Corporate DirectorBoard Member Nov 1, 2010
Lisa Carter Individual Corporate DirectorBoard Member Nov 1, 2013
Diane E Laurendeau Individual Corporate OfficerCfo Sep 9, 1985
W-2 Managing EmployeeCfo Sep 9, 1985
Isabelle Palin Individual Corporate DirectorBoard Member Nov 1, 2010
Patricia a Locuratolo Individual Corporate DirectorBoard Member Nov 1, 2022
Donna Finneran Individual Corporate DirectorBoard Member Nov 1, 2009
Claudette S Dupee Individual Corporate DirectorBoard Member; President Jul 1, 1999
Shirley Carter Friend Individual Corporate OfficerExecutive Director Sep 1, 2022
W-2 Managing EmployeeExecutive Director Sep 1, 2022
William Hygh Individual Corporate DirectorBoard Member Feb 18, 2021
Jean L Walsh Individual Corporate DirectorBoard Member, Treasurer Dec 15, 2016
David Wright Individual Corporate DirectorBoard Member, Secretary May 1, 2012

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1497923916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040730072",
            "telephone_number": "207-324-5762",
            "fax_number": "207-490-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900",
            "fax_number": "207-324-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK COUNTY COMMUNITY ACTION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "MELANSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE INTEGIRTY",
        "authorized_official_telephone_number": "207-459-2947"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000216073",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "York County Community Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springvale, ME

Sources for this page

Verify at the official NPI Registry.