Mainehealth

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MAINEHEALTH

Doing business as

MaineHealth MT Blue Health Center
MaineHealth Primary Care Family Medicine

Practice address

131 Franklin Health CMNS
Farmington, ME 04938-6142

Phone

(207) 860-4090

Fax

(207) 860-4098

NPI assigned

Oct 17, 2019

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MAINEHEALTHAs reported in NPPES

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

Authorized official

Name

Robert Hunter

Title

Senior Vice President

Phone

(207) 662-2272

Specialties & licenses 1

Addresses

Other names 2

• MaineHealth MT Blue Health Center Doing business as
• MaineHealth Primary Care Family Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619510047. Details of each certification follow.

• CCN 208527 Rural health clinic · Active · Details

Rural health clinic certification: CCN 208527

Legal name

MAINEHEALTH

Doing business as

MAINEHEALTH MT BLUE HEALTH CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 6, 2020

Last certification

Feb 6, 2020

Ownership / control type

2B

Organization structure

CorporationNon-profit

Enrollment address

131 Franklin Health CMNS
Farmington, ME 04938-6142

Related CCNs

200037

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mainehealth85 organizations share this tax ID, including this one

Part of

Mainehealth

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Mainehealth

  dba MaineHealth Walk Care In Care

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1487573028
  NPD tax ID
• Mainehealth

  dba MaineHealth Arthur Jewell Health Center

  • Rural Health Clinic/Center
  • Brooks, ME
  • NPI 1487720215
  NPD tax ID
• Mainehealth

  dba Angel Ambulance

  • Ambulance
  • Portland, ME
  • NPI 1508342643
  NPD tax ID
• Mainehealth

  dba MaineHealth Specialty Care Procedure

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1508785163
  NPD tax ID
• Mainehealth

  dba MaineHealth Maine Medical Center

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1508897059
  NPD tax ID
• Mainehealth

  dba Maine Medical Partners Specialty Care

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1518342526
  NPD tax ID
• Mainehealth

  dba Spring Harbor Community Services

  • Community/Behavioral Health Agency
  • Rockland, ME
  • NPI 1518447325
  NPD tax ID
• Mainehealth

  dba Gregory Wing at St. Andrews Village

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
  • NPI 1528151065
  NPD tax ID
• Mainehealth

  dba SMHC Newton Center

  • Skilled Nursing Facility
  • Sanford, ME
  • NPI 1558841353
  NPD tax ID
• Mainehealth

  dba MaineHealth Pen Bay Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Rockport, ME
  • NPI 1568273241
  NPD tax ID
• Mainehealth

  dba MaineHealth Behavioral Health at Spring Harbor

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1598798787
  NPD tax ID
• Mainehealth

  dba Maine Medical Partners

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1609251610
  NPD tax ID

All disclosed owners & managing parties 33

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lisa T Beaule, MD

  • Urology Physician
  • South Portland, ME
  • NPI 1518913433

  Corporate Director

  CMS ownership
• Brett M Loffredo, MD

  • Family Medicine Physician
  • Gorham, ME
  • NPI 1295809911

  Corporate Director

  CMS ownership
• Daniel L Loiselle, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1316906589

  Corporate Director

  CMS ownership
• Peter C Manning, MD

  • Obstetrics & Gynecology Physician
  • Biddeford, ME
  • NPI 1902977077

  Corporate Director

  CMS ownership
• Thomas J Ryan Jr., M.D.

  • Interventional Cardiology Physician
  • Scarborough, ME
  • NPI 1326019563

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Lincolnhealth Coves Edge

  dba Coves Edge Nursing Facility

  • Nursing Facility/Intermediate Care Facility
  • Damariscotta, ME
  • NPI 1477648962

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Medd Health Center

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1053601864

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Franklin Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1245873082

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Primary Care Family Medicine

  • Rural Health Clinic/Center
  • Stockton Springs, ME
  • NPI 1295800118

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Lincoln Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
  • NPI 1316035116

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1346299815

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Herbert and Roberta Watson Health Center

  • Rural Health Clinic/Center
  • Damariscotta, ME
  • NPI 1477629384

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Arthur Jewell Health Center

  • Rural Health Clinic/Center
  • Brooks, ME
  • NPI 1487720215

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba Gregory Wing at St. Andrews Village

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
  • NPI 1528151065

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Behavioral Health at Spring Harbor

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1598798787

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Maine Medical Center

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1760436216

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Pediatrics

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1811288061

  Mainehealth Services

  CMS ownership

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1619510047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386142",
            "telephone_number": "207-860-4090",
            "fax_number": "207-860-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2019-10-17",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "207-662-2272"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MaineHealth MT Blue Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth Primary Care Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marco Madison, PT,DPT
• Maine Diagnostic Imaging, PA
• Mainehealth (MaineHealth Franklin Health Center)
• Mainehealth
• Mainehealth (MaineHealth Franklin Hospital)
• Mainehealth (Franklin Memorial Hospital)
• Mainehealth (MaineHealth Franklin Hospital - Swing Bed)
• Mainehealth (MaineHealth Franklin Hospital)
• Mainehealth (Franklin Memorial Hospital)
• Chase L Malloy

• Rural Health Clinic/Center in Farmington, ME
• Providers in Farmington, ME by specialty
• Rural Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.