Mainehealth
Organization Active NPI General Acute Care Hospital · Rockport, ME
NPI 1578043378 · NPPES record last updated Apr 11, 2025
Key facts
- NPI
- 1578043378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 36280 (ME)
- Legal business name
- MAINEHEALTH
- Practice address
- 6 Glen Cove Dr
Rockport, ME 04856-4273 - Phone
- (207) 596-8000
- NPI assigned
- Aug 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Lugene Anthony Inzana
- Title
- Associate Cfo
- Phone
- (207) 662-3538
Other NPIs on the same Medicare enrollment 38
Practitioners 127
-
Mac Wilson Abernathy, M.D.
-
Maxwell Afari, MD
-
Kelly Melissa Aguilar, M.D.
-
Khaled Al Sibai, MD
-
Angela Diane Bacchiocchi, PA-C
-
Elizabeth J Boogusch, M.D.
-
William J Bronson, PAC
-
Jordan Caffe, MD
-
Mikayla Chase, APRN-FNP
-
Ronald E Chicoine, M.D.
-
Lindsey Elizabeth Chorney, AGACNP
-
Caitlin Civiello, M.D.
-
Ryan Close, M.D.
-
Troy Richard Cloutier, PA-C
-
Mikaela Abigail Coburn-Pierce, MD, MPH
-
Brandy Colson, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| 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 |
National Provider Directory
Locations
125 Northport Ave
Ste 216
Belfast, ME 04915
116 Northport Ave
Belfast, ME 04915
Phone (207) 338-9570
116 Northport Ave
Ste 112
Belfast, ME 04915
Phone (207) 505-4163
19 Saint Andrews Ln
Boothbay Hbr, ME 04538
Phone (207) 633-7820
5 Miles Center Way
Unit 1
Damariscotta, ME 04543
Phone (207) 563-4250
24 Miles Center Way
Fl 2
Damariscotta, ME 04543
181 Main St
Norway, ME 04268
Phone (207) 743-5933
1577 Congress St
Ste 2
Portland, ME 04102
Phone (207) 662-1622
5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500
75 Maverick St
Ste 1
Rockland, ME 04841
4 White St
Rockland, ME 04841
Phone (207) 594-6763
75 Maverick St
Ste 6
Rockland, ME 04841
Phone (207) 301-6050
4 Glen Cove Dr
Ste 10
Rockport, ME 04856
Phone (207) 301-5790
6 Glen Cove Dr
Ste 105
Rockport, ME 04856
15 Anchor Dr
Ste 201
Rockport, ME 04856
Phone (207) 301-5800
4 Glen Cove Dr
Rockport, ME 04856
Phone (207) 301-5500
25 June St
Ste 113
Sanford, ME 04073
92 Campus Dr
Ste D1
Scarborough, ME 04074
1 Rr1 Box
Pittsburgh, PA 15251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 36280 | ME | Yes |
Addresses
Primary practice location
6 Glen Cove Dr
Rockport, ME 04856-4273
Mailing address
4 White St
Rockland, ME 04841-2953
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104540000 | Medicaid | ME | |
| 126810000 | Medicaid | ME |
Other names
- MaineHealth Pen Bay Hospital
- Penobscot Bay Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Rockport, ME
- Maine Mobile MRI Associates
- Maine Molecular Imaging, LLC
- Mainehealth
- Mainehealth
- Mainehealth
- Mainehealth
- Mainehealth
- Mainehealth Care at Home
- Alison R Maloof
- Rohith R Malya
All providers in Rockport, ME · General Acute Care Hospital in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.