Active NPI
Mainehealth
Doing business as MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 36236
- Legal business name
- MAINEHEALTH
- Doing business as
- MaineHealth Maine Medical Center
- Practice address
- 216 Vaughan St
Portland, ME 04102 - Phone
- (207) 842-6531
- Fax
- (207) 842-7773
- NPI assigned
- Jul 5, 2006
- Last updated
- May 14, 2025
- Organization subpart
- Yes
- Parent organization
- MAINEHEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lugene Anthony Inzana
- Title
- Chief Financial Officer
- Phone
- (207) 661-1346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 36236 | ME | Primary |
Addresses
Primary practice location
216 Vaughan St
Portland, ME 04102
Mailing address
123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 842-6531
Other practice location 1
66 Bramhall St
Portland, ME 04102-3344
Phone (207) 662-3157
Other names 2
- MaineHealth Maine Medical Center
- MaineHealth Behavioral Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701000166 | ME | Part B Supplier - Clinic/Group Practice | 7517860588 |
Receives reassigned benefits from 3,561 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20071116000569 | ME | Part A Provider - Hospital | 7517860588 |
35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508897059. Details of each certification follow.
Hospital certification: CCN 200009
- Legal name
- MAINEHEALTH
- Doing business as
- MAINEHEALTH MAINE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 27, 2019
- Beds
- 606
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Enrollment address
- 22 Bramhall St
Portland, ME 41023134 - Hospital subgroups
- General, Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs on the same Medicare enrollment 51
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
O20071116000569
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
O20040701000166, O20071116000569
-
- Maternal & Fetal Medicine Physician
- Portland, ME
- NPI 1063726891
O20040701000166, O20071116000569
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
O20040701000166, O20071116000569
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
O20040701000166, O20071116000569
-
dba SMHC Physician Services
- Multi-Specialty Clinic/Center
- Biddeford, ME
- NPI 1215417019
O20040701000166
-
dba MaineHealth Virtual Care Virtual Quick Care
- Urgent Care Clinic/Center
- Portland, ME
- NPI 1265251540
O20040701000166
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
O20040701000166, O20071116000569
-
dba MaineHealth Behavioral Health
- Community/Behavioral Health Agency
- Portland, ME
- NPI 1265912067
O20040701000166
-
dba MaineHealth Waldo Hospital
- Critical Access Hospital
- Belfast, ME
- NPI 1265912075
O20040701000166
Care Compare: Hospital
Medicare Care Compare- Listed as
- Mainehealth Maine Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2079587 | Mainehealth | Certificate of waiver | Jun 17, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- MMC Family Practice Cen
- Part of
- MMC Family Practice Cen
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.
-
dba Family Practice Service
- Family Medicine Physician
- Portland, ME
- NPI 1376551861
-
dba The Pharmacy at Pen Bay Medical Center
- Community/Retail Pharmacy
- Rockport, ME
- NPI 1407336209
-
dba MaineHealth Pharmacy Specialty and Home Delivery Westbrook
- Community/Retail Pharmacy
- Westbrook, ME
- NPI 1437723822
-
- General Acute Care Hospital
- Portland, ME
- NPI 1447623996
-
dba MaineHealth Herbert and Roberta Watson Health Center
- Rural Health Clinic/Center
- Damariscotta, ME
- NPI 1477629384
-
dba MaineHealth Walk Care In Care
- General Acute Care Hospital
- Brunswick, ME
- NPI 1487573028
-
dba MaineHealth Arthur Jewell Health Center
- Rural Health Clinic/Center
- Brooks, ME
- NPI 1487720215
-
dba MaineHealth Specialty Care Procedure
- General Acute Care Hospital
- Brunswick, ME
- NPI 1508785163
Locations
131 Chadwick St
Ste 23
Portland, ME 04102
216 Vaughan St
Portland, ME 04102
Phone (207) 662-2221
123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200
Ownership & related parties
All disclosed owners & managing parties 33
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy a Hasenfus | Corporate Director | Jan 1, 2019 | |
| Brett Loffredo | Corporate Director | Jan 1, 2019 | |
| Brian H Noyes | Corporate Director | Oct 1, 2016 | |
| Dawn M Tutt | W-2 Managing Employee | Dec 30, 2013 | |
| Marie J McCarthy | Corporate Director | Oct 1, 2016 | |
| Matthew Chin | Corporate Director | Apr 1, 2025 | |
| Katherine B Coster | Corporate Director | Oct 1, 2016 | |
| Beth Kelsch | Corporate Officer | Apr 1, 2025 | |
| Robert Hunter | Corporate Officer | Dec 1, 2025 | |
| Ann W Bresnahan | Corporate Director | Oct 1, 2023 | |
| Christopher Cimino | Corporate Director | Oct 1, 2025 | |
| Andrew T Mueller | Corporate Officer | Jul 1, 2021 | |
| Lisa T Beaule | Corporate Director | Jan 1, 2019 | |
| Charles Richard Bayman | Corporate Officer | Dec 1, 2025 | |
| Corporate Director | Dec 1, 2025 | ||
| Christopher C Coon | Corporate Officer | Jan 1, 2016 | |
| Kelly a Elkins | Corporate Officer | Jan 1, 2022 | |
| Jennifer Kent | Corporate Director | Oct 1, 2025 | |
| Peter W Wood | Corporate Director | Jan 1, 2022 | |
| Thomas J Ryan | Corporate Director | Jan 1, 2019 | |
| David J Kumaki | Corporate Director | Jan 1, 2019 | |
| Quincy Hentzel | Corporate Director | Apr 1, 2025 | |
| Morris L Fisher | Corporate Director | Jun 1, 2013 | |
| Leslie Clinton Boothby | Corporate Director | Jan 1, 2019 | |
| Kathleen Herlihy | Corporate Director | Jan 1, 2019 | |
| Mainehealth Services | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
| Operational/Managerial Control | Jan 1, 2019 | 100% | |
| Linda M. Terry | Corporate Director | Jan 1, 2022 | |
| Peter C Manning | Corporate Director | Jan 1, 2019 | |
| Alissa Chasse | W-2 Managing Employee | Jan 1, 2025 | |
| Daniel L Loiselle | Corporate Director | Jan 1, 2019 | |
| Kelly Champney | Corporate Officer | Jun 1, 2026 | |
| Matthew P Orlando | Corporate Director | Oct 1, 2024 | |
| Stuart H Watson | Corporate Director | Jan 1, 2022 | |
| Amanda Rand | Corporate Director | Jan 1, 2023 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Obstetrics & Gynecology Physician
- Biddeford, ME
- NPI 1902977077
Corporate Director
-
- Interventional Cardiology Physician
- Scarborough, ME
- NPI 1326019563
Corporate Director
Practitioners & affiliated clinicians
Practitioners 92
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.
-
- Internal Medicine Physician
- Rockport, ME
- NPI 1124312335
-
- Internal Medicine Physician
- Portland, ME
- NPI 1518286798
-
- Pediatric Gastroenterology Physician
- Portland, ME
- NPI 1295255198
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1861936403
-
- Surgical Physician Assistant
- Portland, ME
- NPI 1023433000
-
- Emergency Medicine Physician
- Biddeford, ME
- NPI 1497307375
-
- Emergency Medicine Physician
- Biddeford, ME
- NPI 1720465644
-
- Physician Assistant
- Portland, ME
- NPI 1841259900
-
- Surgical Physician Assistant
- Portland, ME
- NPI 1528137726
-
- Clinical Social Worker
- Portland, ME
- NPI 1184165854
-
- Clinical Social Worker
- Portland, ME
- NPI 1528806585
-
- Family Nurse Practitioner
- Scarborough, ME
- NPI 1972085140
Affiliated clinicians 2,518
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1508897059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ANDOVER RD",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923848",
"telephone_number": "207-842-6531",
"fax_number": "207-842-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 VAUGHAN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-842-6531",
"fax_number": "207-842-7773"
}
],
"practiceLocations": [
{
"address_1": "66 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023344",
"country_code": "US",
"telephone_number": "207-662-3157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAINEHEALTH",
"enumeration_date": "2006-07-05",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "207-661-1346"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "ME",
"license": "36236",
"primary": true
}
],
"identifiers": [],
"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 Maine Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MaineHealth Behavioral Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Portland, ME
- Mainehealth
- Mainehealth (MMC Pediatric Urology)
- Mainehealth (Maine Medical Partners Pediatric Specialty Care)
- Mainehealth (MaineHealth Medical Group-Primary Care)
- Mainehealth (Angel Ambulance)
- Mainehealth (Maine Medical Partners Specialty Care)
- Mainehealth (MMC Cardiology)
- Mainehealth (MaineHealth Medical Group-Specialty Care)
- Mainehealth (MMP Family Medicine)
- Mainehealth (Maine Medical Partners Otolaryngology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.