Organization Active NPI

Miles Memorial Hospital Incorporated

Doing business as Miles Memorial Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
National Provider Identifier
1548355654
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
36359 Issued in ME
Legal business name
MILES MEMORIAL HOSPITAL INCORPORATED
Doing business as
Miles Memorial Hospital Swing Bed
Practice address
35 Miles St
Damariscotta, ME 04543-4047
Phone
(207) 563-1234
Fax
(207) 633-1224
NPI assigned
Oct 4, 2006
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MILES MEMORIAL HOSPITAL INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Wayne R Printy
Title
Cfo
Phone
(207) 563-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 36359 ME Primary

Addresses

Primary practice location

35 Miles St
Damariscotta, ME 04543-4047

Mailing address

PO Box 539
West Boothbay Harbor, ME 04575-0539
Phone (207) 563-1234

Other identifiers 1

IdentifierTypeStateIssuer
101980000MedicaidME

Other names 1

  • Miles Memorial Hospital Swing Bed Doing business as

National Provider Directory

National Provider Directory
Part of
Seacove Medical Equipme

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1548355654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "WEST BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045750539",
            "telephone_number": "207-563-1234",
            "fax_number": "207-633-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILES ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434047",
            "telephone_number": "207-563-1234",
            "fax_number": "207-633-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEMORIAL HOSPITAL INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILES MEMORIAL HOSPITAL INCORPORATED",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "PRINTY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-563-4476"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ME",
            "license": "36359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101980000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miles Memorial Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.