Organization Active NPI

Mainehealth

Doing business as MaineHealth EMS

  • Ambulance
  • Scarborough, ME
National Provider Identifier
1780419499
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MAINEHEALTH
Doing business as
MaineHealth EMS
Practice address
24 Washington Ave
Scarborough, ME 04074-8311
Phone
(207) 491-4952
NPI assigned
Sep 3, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Lugene Anthony Inzana
Title
Associate Cfo
Phone
(207) 661-1346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

24 Washington Ave
Scarborough, ME 04074-8311

Mailing address

PO Box 360489
Pittsburgh, PA 15251-6489
Phone (207) 396-7873

Other names 1

  • MaineHealth EMS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250211000529 ME Part B Supplier - Ambulance Service Supplier 7517860588 Practice locations: Brunswick, ME; Northport, ME; Scarborough, ME

National Provider Directory

National Provider Directory
Tax ID family
Mainehealth85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

24 Washington Ave
Scarborough, ME 04074
Phone (207) 510-0073

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mid Coast Senior Health CenterBrunswick, ME, CCN 205163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2021
Oct 16, 2025
Coves EdgeDamariscotta, ME, CCN 205067 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 2019
Jan 1, 2019
Jan 1, 2019

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1780419499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360489",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516489",
            "telephone_number": "207-396-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WASHINGTON AVE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748311",
            "telephone_number": "207-491-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-661-1346"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MaineHealth EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.