NPIMap

Organization Active NPI

Seaport Family Practice

  • Rural Health Clinic/Center
  • Belfast, ME
National Provider Identifier
1780807446
Registry record updated Jun 29, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SEAPORT FAMILY PRACTICE
Practice address
41 Wight St
Belfast, ME 04915-6054
Phone
(207) 338-6900
Fax
(207) 338-4976
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Ms. Karen Sue Stearns
Title
Office Manager
Phone
(207) 338-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X ME Primary

Addresses

Primary practice location

41 Wight St
Belfast, ME 04915-6054

Mailing address

41 Wight St
Belfast, ME 04915-6054
Phone (207) 338-6900

Other identifiers 1

IdentifierTypeStateIssuer
117690100MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1780807446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WIGHT ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156054",
            "telephone_number": "207-338-6900",
            "fax_number": "207-338-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WIGHT ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156054",
            "telephone_number": "207-338-6900",
            "fax_number": "207-338-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAPORT FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-338-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117690100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.