Eastern Maine Medical Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

EASTERN MAINE MEDICAL CENTER

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 973-7000

NPI assigned

Oct 24, 2005

Last updated

Jul 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Edelman

Title

Sr. VP of Operations

Phone

(207) 973-8992

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1780674580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD",
            "address_2": "FLOOR 5",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MAINE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "SR. VP OF OPERATIONS",
        "authorized_official_telephone_number": "207-973-8992"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": "35999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101780000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Maine Eye Associates, PA
• Eastern Maine Homecare (Bangor Area Visiting Nurses)
• Eastern Maine Homecare (Hospice of Eastern Maine)
• Eastern Maine Medical Center
• Eastern Maine Medical Center
• Eastern Maine Medical Center
• Eastern Maine Medical Center
• Julie Joan Eastman, FNP
• Martha A Eastman, NP-C
• Linda A Eberhardt, DMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bangor, ME
• Providers in Bangor, ME by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.