Miles Memorial Hospital, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MILES MEMORIAL HOSPITAL, INC.

Practice address

49 Hooper St
Wiscasset, ME 04578-4053

Phone

(207) 882-7911

Fax

(207) 882-6178

NPI assigned

Oct 19, 2006

Organization subpart

Yes

Parent organization

MILES MEMORIAL HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Ms. Stacey A. Miller

Title

VP Physician Services

Phone

(207) 563-4383

Specialties & licenses 1

Addresses

Other names 1

• MMG Wiscasset Doing business as

Part of

Seacove Medical Equipme

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.

• Miles Memorial Hospital Incorporated

  • General Acute Care Hospital
  • Damariscotta, ME
  • NPI 1699860106
  NPPES parent name

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1609958644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HOOPER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784053",
            "telephone_number": "207-882-7911",
            "fax_number": "207-882-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HOOPER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784053",
            "telephone_number": "207-882-7911",
            "fax_number": "207-882-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILES MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "207-563-4383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMG Wiscasset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Charles Lusth, LCPC-C
• Mainehealth
• Charles Robert May, LCSW
• Kathleen Rose Mazuroski, MOTRL
• Colin McClure, PA
• David Hardison Otto, MD
• Elsa Whittington Parson, FNP
• Janet D Proulx
• Mary S Rafter, FNP
• Stephen D. Reed, M.D.

• Family Medicine Physician in Wiscasset, ME
• Providers in Wiscasset, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.