Active NPI
Penobcot Bay Medical Center
- Occupational Medicine Clinic/Center
- Rockport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- R018379
- Legal business name
- PENOBCOT BAY MEDICAL CENTER
- Practice address
- 756 Commercial St
Rockport, ME 04856-4201 - Phone
- (207) 593-5566
- NPI assigned
- Apr 12, 2007
- 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
- Charlotte M Campbell, RN,MSN,FNP-C
- Title
- NP
- Phone
- (206) 593-5580
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | R018379 | ME | Primary |
Addresses
Primary practice location
756 Commercial St
Rockport, ME 04856-4201
Mailing address
269 Old County Rd
Rockland, ME 04841-5506
Phone (207) 594-7961
National Provider Directory
National Provider Directory- Tax ID family
- Penobscot Bay Medical C
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1841735297
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Rockport, ME
- NPI 1043470842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730303702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 OLD COUNTY RD",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048415506",
"telephone_number": "207-594-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 COMMERCIAL ST",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564201",
"telephone_number": "207-593-5566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENOBCOT BAY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "206-593-5580",
"authorized_official_credential": "RN,MSN,FNP-C"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "ME",
"license": "R018379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.