NPIMap

Organization Active NPI

University of Maine System

  • Student Health Clinic/Center
  • Gorham, ME
National Provider Identifier
1780020941
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF MAINE SYSTEM
Practice address
37 College Ave
125 Upton Hall
Gorham, ME 04038-1032
Phone
(207) 780-5411
Fax
(207) 780-4911
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Ms. Lisa Garner Belanger, NPNPI 1285759993
Title
Director, Health Services, Usm
Phone
(207) 780-5160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

37 College Ave
125 Upton Hall
Gorham, ME 04038-1032

Mailing address

37 College Ave
125 Upton Hall
Gorham, ME 04038-1032
Phone (207) 780-5411

Other names 1

  • University of Southern Maine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Maine7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

252 Main St
Farmington, ME 04938
Phone (207) 778-7034

37 College Ave
Ste 156
Gorham, ME 04038

96 Falmouth St
Portland, ME 04103
Phone (207) 780-4050

94 Falmouth St
Portland, ME 04103

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1780020941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COLLEGE AVE",
            "address_2": "125 UPTON HALL",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381032",
            "telephone_number": "207-780-5411",
            "fax_number": "207-780-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COLLEGE AVE",
            "address_2": "125 UPTON HALL",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381032",
            "telephone_number": "207-780-5411",
            "fax_number": "207-780-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MAINE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GARNER",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES, USM",
        "authorized_official_telephone_number": "207-780-5160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Southern Maine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.