NPIMap

Organization Active NPI

Mainehealth

Doing business as MaineHealth Pen Bay Hospital

  • General Acute Care Hospital
  • Rockport, ME
National Provider Identifier
1578043378
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
36280 Issued in ME
Legal business name
MAINEHEALTH
Doing business as
MaineHealth Pen Bay Hospital
Penobscot Bay Medical Center
Practice address
6 Glen Cove Dr
Rockport, ME 04856-4273
Phone
(207) 596-8000
NPI assigned
Aug 21, 2018
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Lugene Anthony Inzana
Title
Associate Cfo
Phone
(207) 662-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 36280 ME Primary

Addresses

Primary practice location

6 Glen Cove Dr
Rockport, ME 04856-4273

Mailing address

4 White St
Rockland, ME 04841-2953

Other identifiers 2

IdentifierTypeStateIssuer
104540000MedicaidME
126810000MedicaidME

Other names 2

  • MaineHealth Pen Bay Hospital Doing business as
  • Penobscot Bay Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 38

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

View all 38

National Provider Directory

National Provider Directory

Locations

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

116 Northport Ave
Belfast, ME 04915
Phone (207) 338-9570

116 Northport Ave
Ste 210
Belfast, ME 04915
Phone (207) 338-1838

125 Northport Ave
Ste 216
Belfast, ME 04915

24 Miles Center Way
Fl 2
Damariscotta, ME 04543

329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250

5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500

75 Maverick St
Ste 1
Rockland, ME 04841

15 Anchor Dr
Rockport, ME 04856
Phone (207) 301-6380

6 Glen Cove Dr
Ste 105
Rockport, ME 04856

13 Industrial Park Rd
Saco, ME 04072
Phone (207) 283-8800

655 Main St
Saco, ME 04072
Phone (207) 283-1407

25 June St
Ste 113
Sanford, ME 04073

27 Mill St
Waldoboro, ME 04572
Phone (207) 832-2300

1 Rr1 Box
Pittsburgh, PA 15251

Practitioners & affiliated clinicians

Practitioners 127

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 127

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1578043378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WHITE ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564273",
            "telephone_number": "207-596-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-662-3538"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": "36280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104540000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126810000",
            "state": "ME"
        }
    ],
    "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",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MaineHealth Pen Bay Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penobscot Bay Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.