Active NPI
Mainehealth
Doing business as SMHC Walk In Care-Waterboro
- Urgent Care Clinic/Center
- East Waterboro, ME
National Provider Identifier
1649750449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 37915
- Legal business name
- MAINEHEALTH
- Doing business as
- SMHC Walk In Care-Waterboro
- Practice address
- 10 Goodall Dr
East Waterboro, ME 04030-5214 - Phone
- (207) 490-7760
- NPI assigned
- Aug 21, 2018
- Last updated
- Apr 1, 2025
- 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
- Lugene Anthony Inzana
- Title
- Associate Cfo
- Phone
- (207) 662-3538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 37915 | ME | Primary |
Addresses
Primary practice location
10 Goodall Dr
East Waterboro, ME 04030-5214
Mailing address
1 Medical Center Dr
Biddeford, ME 04005-9422
Other names 1
- SMHC Walk In Care-Waterboro
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
National Provider Directory
National Provider Directory- Tax ID family
- Maine Medical Assoc
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.
-
dba MaineHealth Arthur Jewell Health Center
- Rural Health Clinic/Center
- Brooks, ME
- NPI 1487720215
-
dba MaineHealth Specialty Care Procedure
- General Acute Care Hospital
- Brunswick, ME
- NPI 1508785163
-
dba MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
- NPI 1508897059
-
dba Maine Medical Partners Specialty Care
- General Acute Care Hospital
- Portland, ME
- NPI 1518342526
-
dba Spring Harbor Community Services
- Community/Behavioral Health Agency
- Rockland, ME
- NPI 1518447325
-
dba Gregory Wing at St. Andrews Village
- Nursing Facility/Intermediate Care Facility
- Boothbay Harbor, ME
- NPI 1528151065
-
dba MaineHealth Pen Bay Hospital
- Medicare Defined Swing Bed Hospital Unit
- Rockport, ME
- NPI 1568273241
-
dba MaineHealth Behavioral Health at Spring Harbor
- Psychiatric Hospital
- Westbrook, ME
- NPI 1598798787
-
dba MaineHealth MT Blue Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1619510047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1649750449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GOODALL DR",
"city": "EAST WATERBORO",
"state": "ME",
"postal_code": "040305214",
"telephone_number": "207-490-7760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "ASSOCIATE CFO",
"authorized_official_telephone_number": "207-662-3538"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "ME",
"license": "37915",
"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": "SMHC Walk In Care-Waterboro",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SMHC Walk In Care-Waterboro",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in East Waterboro, ME
- Hannaford Bros Co LLC
- Heather L Kierstead-Dupuis, RN
- Grace Elizabeth Lacourse
- Jason Alexander Lange
- Katelyn Marie Pio Lovely, NP
- McGarrigle RX Consulting LLC (Good for All Pharmacy)
- Jessika T Morin, MD
- Nichole Charise Martin Reader, FNP
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic & Sports Physical Therapy)
- Rebecca R Schunneman, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.