Active NPI
Miles Memorial Hospital Incorporated
- General Acute Care Hospital
- Damariscotta, ME
National Provider Identifier
1699860106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 36359
- Legal business name
- MILES MEMORIAL HOSPITAL INCORPORATED
- Practice address
- 35 Miles Street
Damariscotta, ME 04543 - Phone
- (207) 563-1234
- Fax
- (207) 633-1224
- NPI assigned
- Oct 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
- Wayne R Printy
- Title
- Cfo
- Phone
- (207) 563-4476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 36359 | ME | Primary |
Addresses
Primary practice location
35 Miles Street
Damariscotta, ME 04543
Mailing address
P.O. Box 539
West Boothbay Harbor, ME 04575-0539
Phone (207) 563-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101980000 | Medicaid | ME |
Other names 1
- Miles Memorial Hospital
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 11
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pediatrics Physician
- Boothbay Harbor, ME
- NPI 1235204157
-
- Emergency Medicine Physician
- Damariscotta, ME
- NPI 1366605909
-
- Anesthesiology Physician
- Damariscotta, ME
- NPI 1457514093
-
- Orthopaedic Surgery Physician
- Damariscotta, ME
- NPI 1265518757
-
- Internal Medicine Physician
- Damariscotta, ME
- NPI 1346316973
-
- Medicare Defined Swing Bed Hospital Unit
- Damariscotta, ME
- NPI 1548355654
-
- Family Nurse Practitioner
- Damariscotta, ME
- NPI 1740612373
-
- Family Medicine Physician
- Wiscasset, ME
- NPI 1609958644
-
- Surgery Physician
- Damariscotta, ME
- NPI 1629143003
-
- Pediatrics Physician
- Damariscotta, ME
- NPI 1679649594
-
- Obstetrics & Gynecology Physician
- Damariscotta, ME
- NPI 1962583732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298419200000",
"number": "1699860106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 539",
"city": "WEST BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045750539",
"telephone_number": "207-563-1234",
"fax_number": "207-633-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MILES STREET",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "04543",
"telephone_number": "207-563-1234",
"fax_number": "207-633-1224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILES MEMORIAL HOSPITAL INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2011-02-23",
"status": "A",
"authorized_official_last_name": "PRINTY",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "207-563-4476"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "ME",
"license": "36359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101980000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miles Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.