Active NPI
Hope Health PC
- Primary Care Clinic/Center
- Camden, ME
National Provider Identifier
1609057900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- R030681
- Legal business name
- HOPE HEALTH PC
- Practice address
- 77 Elm St
Suite 4
Camden, ME 04843-1904 - Phone
- (207) 236-2201
- Fax
- (207) 236-2203
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brien C Davis, FNP
- Title
- Owner/Provider
- Phone
- (207) 236-2201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | R030681 | ME | Primary |
| Primary Care Clinic/Center | 261QP2300X | R028675 | ME |
Addresses
Primary practice location
77 Elm St
Suite 4
Camden, ME 04843-1904
Mailing address
77 Elm St
Suite 4
Camden, ME 04843-1904
Phone (207) 236-2201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HONG0102 | Other | ME | MEDICARE PRACTICE NUMBER |
| UX6262 | Other | ME | MEDICARE PROVIDER NUMBER |
| UX6263 | Other | ME | MEDICARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
77 Elm St
Ste 4
Camden, ME 04843
Phone (207) 236-2004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Murray, UT
- NPI 1184726911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1609057900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 ELM ST",
"address_2": "SUITE 4",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048431904",
"telephone_number": "207-236-2201",
"fax_number": "207-236-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 ELM ST",
"address_2": "SUITE 4",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048431904",
"telephone_number": "207-236-2201",
"fax_number": "207-236-2203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "BRIEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "207-236-2201",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "ME",
"license": "R030681",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "ME",
"license": "R028675",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PRACTICE NUMBER",
"identifier": "HONG0102",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "UX6262",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "UX6263",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.