Eastern Maine Medical Center
Organization Active NPI General Acute Care Hospital · Bangor, ME
NPI 1790789147 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1790789147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 35999 (ME)
- Legal business name
- EASTERN MAINE MEDICAL CENTER
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 973-7000
- NPI assigned
- Jun 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Marc Edelman
- Title
- Sr. VP of Operations
- Phone
- (207) 973-8992
Owners & managing parties with NPI records 5
-
Sean Barnett, M.D.
-
Alan Jansujwicz, M.D.
-
Charles A Staley, MD
Owned or controlled facilities with NPI records 5
Member organizations 10
Practitioners 1,144
-
Marina Ann Abbott, LCSW
-
Kelly Melissa Aguilar, M.D.
-
Mahmuda M Ahmed, M.D.
-
Spyridon T Akrivakis, M.D.
-
CH Hassan Ali, M.D
-
Nancy Allen, M.D.
-
Terry Reynolds Allen, M.D.
-
Justin D Alley, CRNA
-
Mansour Almarhoon, M.D
-
Nabeel Alqsous, MD
-
Erdem Altunel, MD
-
Alec Anderson, MD
-
Peter Arabadjis, M.D.
-
Ellen A Arey, RN
-
Jessica G Aronowitz, M.D.
-
Olivia Paige Barksdale, PA-C
Affiliated clinicians 1,088
-
Mark Arun Abel, MD MPH
-
Clare Marie Abercrombie, DNP- APRN
-
Robert Abrams, M.D.
-
Kelly Melissa Aguilar, M.D.
-
David T. Ahola, M.D.
-
Ian Ainsworth, FNPC
-
Spyridon T Akrivakis, M.D.
-
Samer Al-Ameri, MD
-
Carl F Alessi, M.D.
-
CH Hassan Ali, M.D
-
Nancy Allen, M.D.
-
Terry Reynolds Allen, M.D.
-
Justin D Alley, CRNA
-
Mansour Almarhoon, M.D
-
Vance A Aloupis, M.D.
-
Nabeel Alqsous, MD
Medicare Care Compare: Hospital
- Listed as
- Northern Light Eastern Maine Medical Center
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Hospital certification: CCN 200033
- Legal name
- EASTERN MAINE MEDICAL CENTER
- Doing business as
- NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 9, 2018
- Beds
- 411
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 489 State St
Bangor, ME 44016616 - Hospital subgroups
- General, Rehabilitation unit
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Lynne a Spooner |
Corporate Director | Jan 27, 2016 | |
| Jennifer Goodrich |
Contracted Managing Employee |
Apr 15, 2026 | |
| Heather E Furth |
Corporate Director | Jan 23, 2019 | |
| Alan Jansujwicz |
Corporate Director | Jan 22, 2025 | |
| Ava Collins |
Contracted Managing Employee |
Oct 13, 2024 | |
| Corporate Director | Oct 13, 2024 | ||
| Deborah M Sanford |
W-2 Managing Employee |
Jan 11, 2015 | |
| Eastern Maine Healthcare Services |
Other | Dec 15, 2004 | |
| Carolyn M Fetha |
W-2 Managing Employee |
Aug 7, 2022 | |
| Lisa M Billings-Lindsey |
Corporate Director | Oct 26, 2025 | |
| Eric R Hafener |
Contracted Managing Employee |
Nov 2, 2025 | |
| Noah G Lundy |
Contracted Managing Employee |
Jan 13, 2025 | |
| Emily Ann Cain |
Corporate Director | Jan 21, 2026 | |
| Michael C McGoldrick |
Corporate Director | Jul 24, 2017 | |
| Nathaniel S Putnam |
Corporate Director | Jan 22, 2025 | |
| Bob Ziegelaar |
Corporate Director |
Jan 28, 2015 | |
| Jenifer L Butler |
Corporate Director | Jan 27, 2021 | |
| Angela C Fochesato |
Corporate Director | Jan 26, 2022 | |
| Reuben Guy Hudson |
Corporate Director | Nov 19, 2025 | |
| Susan C Hammond |
Corporate Director | Jan 27, 2021 | |
| Sean J Barnett |
Corporate Director | Oct 1, 2023 | |
| John I Simpson |
Corporate Director | Jan 27, 2016 | |
| Brien C Walton |
Corporate Director | Jan 24, 2024 | |
| Charles a Staley |
W-2 Managing Employee |
May 1, 2026 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| LTC LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (50%) Adp of the SNF |
Sep 25, 2018 Sep 25, 2018 |
| Maine Medical Partners |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (50%) Adp of the SNF |
Oct 1, 2018 Oct 1, 2018 |
| Katahdin Health Care LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (50%) | Oct 1, 2018 |
| Stillwater Healthcare LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (50%) Adp of the SNF |
Oct 1, 2018 Oct 1, 2018 |
| Hibbard Skilled Nursing Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (50%) Adp of the SNF Direct Ownership Interest (50%) |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128000088 | ME | Part B Supplier - Clinic/Group Practice | 2062315161 |
Receives reassigned benefits from 883 practitioners Practice locations: Waterville, ME; Orono, ME; Hampden, ME; Ellsworth, ME; Brewer, ME; Bangor, ME |
| O20060928000049 | ME | Part a Provider - Hospital | 2062315161 |
National Provider Directory
Locations (25 of 75)
417 State St
Ste 320
Bangor, ME 04401
915 Union St
Ste 3
Bangor, ME 04401
885 Union St
Ste 220
Bangor, ME 04401
Phone (207) 973-4702
404 State St
Ste 610
Bangor, ME 04401
Phone (207) 947-8381
489 State St
#2
Bangor, ME 04401
Phone (207) 973-4519
885 Union St
Ste 115
Bangor, ME 04401
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
489 State St
#G6
Bangor, ME 04401
234 State St
Bangor, ME 04401
417 State St
Ste 44
Bangor, ME 04401
885 Union St
Ste 120
Bangor, ME 04401
Phone (207) 947-6743
417 State St
Ste 250
Bangor, ME 04401
885 Union St
Ste 205
Bangor, ME 04401
Phone (207) 947-8681
700 Mount Hope Ave
Ste 650
Bangor, ME 04401
Phone (207) 945-5048
895 Union St
Ste 145
Bangor, ME 04401
417 State St
Ste 330
Bangor, ME 04401
Phone (207) 947-5241
885 Union St
Ste 12
Bangor, ME 04401
489 State St
Ste 443
Bangor, ME 04401
Phone (207) 973-9570
925 Union St
Ste 9
Bangor, ME 04401
905 Union St
Ste 2
Bangor, ME 04401
885 Union St
Ste 145
Bangor, ME 04401
Phone (207) 945-4474
417 State St
Ste 221
Bangor, ME 04401
Phone (207) 973-8865
905 Union St
Ste 11
Bangor, ME 04401
Phone (207) 973-7334
489 State St
#G2
Bangor, ME 04401
650 Evergreen Woods
Bangor, ME 04401
Phone (207) 942-1565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 35999 | ME | Yes |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
489 State St
Bangor, ME 04401-6616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101780000 | Medicaid | ME |
Other providers in Bangor, ME
- Eastern Maine Homecare
- Eastern Maine Medical Center
- Eastern Maine Medical Center
- Eastern Maine Medical Center
- Eastern Maine Medical Center
- Julie Joan Eastman
- Martha A Eastman
- Linda A Eberhardt
- Laurie Eddy
- Sarah Eden
All providers in Bangor, ME · General Acute Care Hospital in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.