NPIMap

Organization Active NPI

Kennebec Medical Associates, P.a.

  • Primary Care Clinic/Center
  • Waterville, ME
National Provider Identifier
1578623625
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KENNEBEC MEDICAL ASSOCIATES, P.A.
Practice address
13 Railroad SQ
Waterville, ME 04901-6139
Phone
(207) 872-6869
Fax
(207) 872-7910
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Miss Donna R Bilodeau, F.N.P.NPI 1134121114
Title
Shareholder
Phone
(207) 872-6869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13 Railroad SQ
Waterville, ME 04901-6139

Mailing address

13 Railroad SQ
Waterville, ME 04901-6139
Phone (207) 872-6869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1578623625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-872-6869",
            "fax_number": "207-872-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-872-6869",
            "fax_number": "207-872-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "BILODEAU",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "207-872-6869",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.