NPIMap

Organization Active NPI

Town of Islesboro

  • Rural Health Clinic/Center
  • Islesboro, ME
National Provider Identifier
1669525267
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
203825 Issued in ME
Legal business name
TOWN OF ISLESBORO
Practice address
150 Main Road
Islesboro, ME 04848-0137
Phone
(207) 734-2213
Fax
(207) 734-8392
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mrs. Janet Anderson
Title
Administrator
Phone
(207) 734-2253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 203825 ME Primary

Addresses

Primary practice location

150 Main Road
Islesboro, ME 04848-0137

Mailing address

PO Box 137
Islesboro, ME 04848-0137
Phone (207) 734-2213

Other identifiers 1

IdentifierTypeStateIssuer
136700100MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150228000058 ME Part A Provider - Rural Health Clinic 7911155940 Practice locations: Islesboro, ME
O20250224002194 ME Part B Supplier - Clinic/Group Practice 7911155940 Receives reassigned benefits from 9 practitioners
Practice locations: Islesboro, ME

Rural health clinic certification: CCN 203825

Legal name
TOWN OF ISLESBORO
Doing business as
ISLESBORO HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 2, 1982
Last certification
Sep 17, 2018
Ownership / control type
Non-profit – church related
Organization structure
GovernmentProprietary
Enrollment address
150 Main Rd
Islesboro, ME 04848-4508

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0649587Islesboro Health Center150 Main Road PO Box 137, Islesboro, ME 04848Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Janet Anderson Individual W-2 Managing EmployeeAdmin Coordinator Mar 6, 2012
Operational/Managerial ControlCeo Jan 1, 2012
Brandy Cilley Individual Contracted Managing EmployeeOffice Manager Jun 3, 2025

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1669525267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048480137",
            "telephone_number": "207-734-2213",
            "fax_number": "207-734-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ROAD",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048480137",
            "telephone_number": "207-734-2213",
            "fax_number": "207-734-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ISLESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-734-2253",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ME",
            "license": "203825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136700100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Islesboro, ME

Sources for this page

Verify at the official NPI Registry.