NPIMap

Organization Active NPI

Health Access Network, Inc.

Doing business as Health Access Network-Millinocket

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
National Provider Identifier
1760640189
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH ACCESS NETWORK, INC.
Doing business as
Health Access Network-Millinocket
Practice address
24 Balsam Dr
Millinocket, ME 04462
Phone
(207) 794-6700
Fax
(207) 723-8001
NPI assigned
Jun 2, 2008
Last updated
Aug 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH ACCESS NETWORK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Nicole Morrison, RN
Title
Ceo
Phone
(207) 794-6700

Specialties & licenses 1

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

Addresses

Primary practice location

24 Balsam Dr
Millinocket, ME 04462

Mailing address

PO Box 819
Millinocket, ME 04462-0819
Phone (207) 794-6700

Other names 1

  • Health Access Network-Millinocket Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001713 ME Part B Supplier - Clinic/Group Practice 2769393180 Receives reassigned benefits from 28 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Enfield, ME; Millinocket, ME; Medway, ME; Lincoln, ME; Lee, ME

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
Part of
Health Access Network Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1760640189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044620819",
            "telephone_number": "207-794-6700",
            "fax_number": "207-723-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BALSAM DR",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "04462",
            "telephone_number": "207-794-6700",
            "fax_number": "207-723-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ACCESS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH ACCESS NETWORK, INC",
        "enumeration_date": "2008-06-02",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-794-6700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Access Network-Millinocket",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Access Network-Millinocket",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millinocket, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.