York County Community Action Corp
Organization Active NPI Federally Qualified Health Center (FQHC) · Springvale, ME
NPI 1497923916 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1497923916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- YORK COUNTY COMMUNITY ACTION CORP
- Practice address
- 15 Oak St
Springvale, ME 04083-1926 - Phone
- (207) 490-6900
- Fax
- (207) 324-0546
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Laurie Melanson
- Title
- Director Revenue Integirty
- Phone
- (207) 459-2947
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 1
Practitioners 31
-
Erica Berube, LCSW
-
Eliza M Burwell, LCSW
-
Melanie Busey, APRN
-
Jennifer Dodson, NP
-
James Robert Hoff III, MS, PA-C
-
Molly Lobel, NP
-
Jodie Ann O'Keefe-Adawadkar, LICSW
-
Aliesha Pierce, LCPC-C
-
Patrick L Pine, MD
-
Jennifer Ridolfi, LCSW
-
William S Winslow, LMSW, CADC
-
Rhianna Meadows, DO
-
Elise Grabowski, DMD
-
Kelsey Marie Lavallee, LCPC
-
Benjamin Martin, DMD
-
Peter K Edison, M.D.
-
Ana Rosa Alvarez, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
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
- Corporation · Non-profit
- Incorporated
- May 17, 1965 in ME
- Enrollment address
- 15 Oak St
Springvale, ME 40831926
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Donald S Burns |
Corporate Director |
Mar 1, 1999 | |
| William Mondor |
Corporate Director |
Nov 1, 2022 | |
| Liam Lafountain |
Corporate Director |
Nov 1, 2022 | |
| Laurie Melanson |
Corporate Officer |
Aug 1, 2022 | |
| W-2 Managing Employee |
Aug 1, 2022 | ||
| Megan Rochelo |
Corporate Director |
Nov 1, 2022 | |
| Ayn Hanselmann |
Corporate Director |
Nov 17, 2022 | |
| Elizabeth Kelly |
Corporate Director |
Oct 1, 2015 | |
| Jane McCabe |
Corporate Director |
Oct 1, 2012 | |
| Grady Collins |
Corporate Director |
Nov 1, 2010 | |
| Lisa Carter |
Corporate Director |
Nov 1, 2013 | |
| Diane E Laurendeau |
Corporate Officer |
Sep 9, 1985 | |
| W-2 Managing Employee |
Sep 9, 1985 | ||
| Isabelle Palin |
Corporate Director |
Nov 1, 2010 | |
| Patricia a Locuratolo |
Corporate Director |
Nov 1, 2022 | |
| Donna Finneran |
Corporate Director |
Nov 1, 2009 | |
| Claudette S Dupee |
Corporate Director |
Jul 1, 1999 | |
| Shirley Carter Friend |
Corporate Officer |
Sep 1, 2022 | |
| W-2 Managing Employee |
Sep 1, 2022 | ||
| William Hygh |
Corporate Director |
Feb 18, 2021 | |
| Jean L Walsh |
Corporate Director |
Dec 15, 2016 | |
| David Wright |
Corporate Director |
May 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
388 Somersworth Rd
North Berwick, ME 03906
Phone (207) 676-2175
15 Oak St
Springvale, ME 04083
Phone (207) 490-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000216073 | Medicaid | ME |
Other names
- York County Community Health Care
Other providers in Springvale, ME
- Sarah M. Wass
- Donna L. Waterman
- Terah Rebekah Watson
- Roberta P. Wentworth
- Christina M. Wilson
- York County Community Action Corp
- York County Community Action Corp
- York County Community Action Corp
- York County Community Action Corps
All providers in Springvale, ME · Federally Qualified Health Center (FQHC) in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.