NPIMap

Organization Active NPI

Down East Community Hospital

  • Certified Registered Nurse Anesthetist
  • Machias, ME
National Provider Identifier
1700883139
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
33527MA Issued in ME
Legal business name
DOWN EAST COMMUNITY HOSPITAL
Practice address
RR 1 Box 11
Machias, ME 04654-9758
Phone
(207) 255-3356
NPI assigned
Jun 30, 2005
Last updated
Oct 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Vicki Brown
Title
PFS Director
Phone
(207) 255-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 33527MA ME Primary

Addresses

Primary practice location

RR 1 Box 11
Machias, ME 04654-9758

Mailing address

11 Hospital Drive
Machias, ME 04654-9758
Phone (207) 255-3356

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040809000314 ME Part B Supplier - Clinic/Group Practice 6709858194 Receives reassigned benefits from 117 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Machias, ME
O20050224000683 ME Part B Supplier - Clinic/Group Practice 6709858194 Receives reassigned benefits from 34 practitioners
Practice locations: Machias, ME

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Calais Community HospitalCalais, ME, CCN 201305 Hospital Other Jul 1, 2021
Calais Community HospitalCalais, ME, CCN 20Z305 Hospital Other Jul 1, 2021
Calais Community HospitalCalais, ME, CCN 208509 Rural health clinic Other Jul 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1700883139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL DRIVE",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046549758",
            "telephone_number": "207-255-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 11",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046549758",
            "telephone_number": "207-255-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN EAST COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "207-255-0460"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "33527MA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machias, ME

Sources for this page

Verify at the official NPI Registry.