Active NPI
Lincolnhealth
Doing business as St. Andrews Family Care Center RHC
- Family Medicine Physician
- Boothbay Harbor, ME
National Provider Identifier
1740332741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LINCOLNHEALTH
- Doing business as
- St. Andrews Family Care Center RHC
- Practice address
- 19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732 - Phone
- (207) 633-7820
- Fax
- (207) 633-7082
- NPI assigned
- Jan 18, 2007
- Organization subpart
- Yes
- Parent organization
- LINCOLNHEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Pinkham
- Title
- President
- Phone
- (207) 633-2121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732
Mailing address
39 Wallace Ave
South Portland, ME 04106-6143
Phone (207) 761-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101560200 | Medicaid | ME |
Other names 1
- St. Andrews Family Care Center RHC
National Provider Directory
National Provider Directory- Tax ID family
- St Andrews Hospital
- Part of
- St Andrews Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Boothbay Harbor, ME
- NPI 1568893006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524787200000",
"number": "1740332741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 WALLACE AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066143",
"telephone_number": "207-761-0650",
"fax_number": "207-761-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SAINT ANDREWS LN",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "045381732",
"telephone_number": "207-633-7820",
"fax_number": "207-633-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLNHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LINCOLNHEALTH",
"enumeration_date": "2007-01-18",
"last_updated": "2018-04-27",
"status": "A",
"authorized_official_last_name": "PINKHAM",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-633-2121"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101560200",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Andrews Family Care Center RHC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Andrews Family Care Center RHC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boothbay Harbor, ME
- Debra Susan Hallinan, RN
- Constance Jones
- James King, PHARMD
- Lisa Leighton, OTR/L
- Lincolnhealth
- Wiley B Macleod, MOTR/L
- Mainehealth (Assisted Living at St. Andrews Village)
- Mainehealth (Safe Haven at St. Andrews Village)
- Mainehealth (Gregory Wing at St. Andrews Village)
- Mainehealth (Safe Havens at St. Andrews Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.