Active NPI
Henrietta D. Goodall Hospital Inc.
- General Acute Care Hospital
- Sanford, ME
National Provider Identifier
1659300200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- HENRIETTA D. GOODALL HOSPITAL INC.
- Practice address
- 25 June St
Sanford, ME 04073-2621 - Phone
- (207) 324-4310
- NPI assigned
- Jul 3, 2006
- 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
- Darlene Stromstead
- Title
- Ceo
- Phone
- (207) 490-7315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | ME | Primary |
Addresses
Primary practice location
25 June St
Sanford, ME 04073-2621
Mailing address
25 June St
Sanford, ME 04073-2621
Phone (207) 324-4310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101480000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 200040
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HENRIETTA D GOODALL HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Jan 1, 2014
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Dec 12, 2008
- Beds
- 58
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 2014 (2 total)
- Facility address
- 25 June Street
Sanford, ME 04073
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1659300200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 JUNE ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732621",
"telephone_number": "207-324-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 JUNE ST",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732621",
"telephone_number": "207-324-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRIETTA D. GOODALL HOSPITAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "STROMSTEAD",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-490-7315"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101480000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.