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Organization Active NPI

Maine Coast Physician Affiliates

Doing business as Maine Coast Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Ellsworth, ME
National Provider Identifier
1801848791
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1061763 Issued in ME
Legal business name
MAINE COAST PHYSICIAN AFFILIATES
Doing business as
Maine Coast Medical Supply
Practice address
50 Union St
Ellsworth, ME 04605-1586
Phone
(207) 664-5497
NPI assigned
May 17, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Kevin Sedgwick
Title
Chief Financial Officer
Phone
(207) 664-5497

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1061763 ME Primary
Customized Equipment (DME) 332BC3200X 1061763 ME
Prosthetic/Orthotic Supplier 335E00000X 1061763 ME

Addresses

Primary practice location

50 Union St
Ellsworth, ME 04605-1586

Mailing address

50 Union St
Ellsworth, ME 04605-1586

Other names 1

  • Maine Coast Medical Supply Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1801848791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051586",
            "telephone_number": "207-664-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE COAST PHYSICIAN AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "SEDGWICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-664-5497"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": "1061763",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ME",
            "license": "1061763",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ME",
            "license": "1061763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Coast Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.