Organization Active NPI

Mainehealth

Doing business as MaineHealth Pediatrics

  • Rural Health Clinic/Center
  • Norway, ME
National Provider Identifier
1811288061
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MAINEHEALTH
Doing business as
MaineHealth Pediatrics
MaineHealth Ripley Health Center
Practice address
193 Main St
Suite 9
Norway, ME 04268-5645
Phone
(207) 743-8766
Fax
(207) 743-1579
NPI assigned
Apr 22, 2011
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MAINEHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Robert Hunter
Title
Senior Vice President - Finance
Phone
(207) 661-1348

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Critical Access Hospital 282NC0060X 37353 ME
Pediatric Nurse Practitioner 363LP0200X 37353 ME
Pediatrics Physician 208000000X 37353 ME

Addresses

Primary practice location

193 Main St
Suite 9
Norway, ME 04268-5645

Mailing address

181 Main St
Norway, ME 04268-5664
Phone (207) 743-5933

Other names 2

  • MaineHealth Pediatrics Doing business as
  • MaineHealth Ripley Health Center 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
O20181107000575 ME Part A Provider - Rural Health Clinic 7517860588 Practice locations: Norway, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811288061. Details of each certification follow.

Rural health clinic certification: CCN 208519

Legal name
MAINEHEALTH
Doing business as
MAINEHEALTH RIPLEY HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2011
Last certification
Feb 26, 2025
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2019 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1951 in ME
Enrollment address
193 Main St
Ste 9
Norway, ME 04268-5647

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0089077Mainehealth Pediatrics Norway193 Main St, Norway, ME 04268Certificate of waiverAug 12, 2027

National Provider Directory

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

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

Ownership & related parties

All disclosed owners & managing parties 33

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy a Hasenfus Individual Corporate DirectorBoard Member Jan 1, 2019
Melissa Smith Individual Corporate DirectorBoard Member Jan 1, 2019
Brett Loffredo Individual Corporate DirectorBoard Member Jan 1, 2019
Lugene a Inzana Individual Corporate OfficerAssociate Cfo Jan 1, 2022
Brian H Noyes Individual Corporate DirectorBoard Member Jan 1, 2019
Dawn M Tutt Individual W-2 Managing EmployeeManager RCM System Support Jan 1, 2019
Marie J McCarthy Individual Corporate DirectorBoard Member Jan 1, 2019
Matthew Chin Individual Corporate DirectorBoard Member Jan 1, 2024
Katherine B Coster Individual Corporate DirectorBoard Member Jan 1, 2019
Beth Kelsch Individual Corporate OfficerSecretary Chief General Counsel Jan 1, 2023
Robert Hunter Individual Corporate OfficerSenior Vice President Dec 1, 2025
Ann W Bresnahan Individual Corporate DirectorBoard Member Oct 1, 2023
Andrew T Mueller Individual Corporate OfficerCeo, Mainehealth Jul 1, 2021
Lisa T Beaule Individual Corporate DirectorBoard Member Jan 1, 2019
Charles Richard Bayman Individual Corporate OfficerCfo Jan 1, 2025
Kelly a Elkins Individual Corporate OfficerCoo Jan 1, 2023
Peter W Wood Individual Corporate DirectorBoard Member Jan 1, 2023
Diana J McLaughlin Individual Corporate OfficerRegional Cfo Sep 26, 2025
Operational/Managerial ControlRegional Cfo Sep 26, 2025
Thomas J Ryan Individual Corporate DirectorBoard Member Jan 1, 2019
David J Kumaki Individual Corporate DirectorBoard Member Jan 1, 2019
Quincy Hentzel Individual Corporate DirectorBoard Member Jan 1, 2024
Morris L Fisher Individual Corporate DirectorBoard Member Jan 1, 2019
Leslie Clinton Boothby Individual Corporate DirectorBoard Member Jan 1, 2019
Kathleen Herlihy Individual Corporate DirectorBoard Member Jan 1, 2019
Mainehealth Services Organization, Portland, ME Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Linda M. Terry Individual Corporate DirectorBoard Member Jan 1, 2023
Peter C Manning Individual Corporate DirectorBoard Member Jan 1, 2019
Alissa Chasse Individual W-2 Managing EmployeeRCM Systems Coordinator II Jan 1, 2023
Sandra Morrell-Rooney Individual Corporate DirectorBoard Member Dec 31, 2022
Daniel L Loiselle Individual Corporate DirectorBoard Member Jan 1, 2019
Matthew P Orlando Individual Corporate DirectorBoard Member Oct 1, 2024
Stuart H Watson Individual Corporate DirectorBoard Member Dec 31, 2022
Amanda Rand Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 81

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 81

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1811288061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685664",
            "telephone_number": "207-743-5933",
            "fax_number": "207-743-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "address_2": "SUITE 9",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685645",
            "telephone_number": "207-743-8766",
            "fax_number": "207-743-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2011-04-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "207-661-1348"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ME",
            "license": "37353",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ME",
            "license": "37353",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "37353",
            "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 Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth Ripley Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

Verify at the official NPI Registry.