NPIMap

Organization Active NPI

Regional Medical Center at Lubec

Doing business as Healthways

  • Federally Qualified Health Center (FQHC)
  • Lubec, ME
National Provider Identifier
1740283977
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
CO1949 Issued in ME
Legal business name
REGIONAL MEDICAL CENTER AT LUBEC
Doing business as
Healthways
Practice address
43 S Lubec Rd
Lubec, ME 04652-3620
Phone
(207) 733-1090
Fax
(207) 733-4767
NPI assigned
May 23, 2005
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Marilyn F Hughes
Title
Ceo
Phone
(207) 733-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CO1949 ME Primary

Addresses

Primary practice location

43 S Lubec Rd
Lubec, ME 04652-3620

Mailing address

43 S Lubec Rd
Lubec, ME 04652-3620
Phone (207) 733-1090

Other identifiers 2

IdentifierTypeStateIssuer
167910100MedicaidME
4618290001OtherMEMEDICARE DME

Other names 1

  • Healthways Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040812001504 ME Part B Supplier - Clinic/Group Practice 8224949888 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: East Machias, ME; Lubec, ME
O20081001000662 ME Part A Provider - Federally Qualified Health Center (FQHC) 8224949888 Practice locations: Lubec, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740283977. Details of each certification follow.

Federally qualified health center certification: CCN 201826

Legal name
REGIONAL MEDICAL CENTER AT LUBEC INC
Doing business as
HEALTHWAYS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 21, 1994
Last certification
Oct 21, 1994
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1971 in ME
Enrollment address
43 South Lubec Road
Lubec, ME 46529621

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Roger Quirk Individual Corporate OfficerChair Apr 1, 2009
James Doherty Individual Corporate OfficerVice Chair Apr 1, 2011
Joanne Case Individual Corporate DirectorBoard Member Apr 1, 2021
Julia Brady Individual Corporate DirectorBoard Member Apr 1, 2015
Jerry Grubel Individual Corporate DirectorBoard Member Apr 1, 2018
Marcia Jackson Individual Corporate DirectorDirector Apr 1, 2017
Anne C Perry Individual Corporate DirectorBoard Member Apr 1, 2018
Sara McConnell Individual Corporate OfficerBoard Secretary Apr 1, 2016
Thomas J Macdonald Individual Corporate OfficerCeo Jun 30, 2022
Operational/Managerial ControlCeo Jun 30, 2022 100%

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1740283977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S LUBEC RD",
            "city": "LUBEC",
            "state": "ME",
            "postal_code": "046523620",
            "telephone_number": "207-733-1090",
            "fax_number": "207-733-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 S LUBEC RD",
            "city": "LUBEC",
            "state": "ME",
            "postal_code": "046523620",
            "telephone_number": "207-733-1090",
            "fax_number": "207-733-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MEDICAL CENTER AT LUBEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-733-5541"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "ME",
            "license": "CO1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167910100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "4618290001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubec, ME

Sources for this page

Verify at the official NPI Registry.