Organization Active NPI

Lincolnhealth

Doing business as St. Andrews Family Care Center RHC

  • Family Medicine Physician
  • Boothbay Harbor, ME
National Provider Identifier
1740332741
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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
LINCOLNHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
101560200MedicaidME

Other names 1

  • St. Andrews Family Care Center RHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Andrews Hospital2 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.