NPIMap

Organization Active NPI

Down East Community Hospital

Doing business as Milbridge Medical Center

  • Family Medicine Physician
  • Milbridge, ME
National Provider Identifier
1851397475
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
007244 Issued in ME
Legal business name
DOWN EAST COMMUNITY HOSPITAL
Doing business as
Milbridge Medical Center
Practice address
24 School St
Milbridge, ME 04658-0005
Phone
(207) 546-2391
NPI assigned
Jun 28, 2005
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Vicki Brown
Title
PFS Director
Phone
(207) 255-0460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 007244 ME Primary
Rural Health Clinic/Center 261QR1300X 007244 ME

Addresses

Primary practice location

24 School St
Milbridge, ME 04658-0005

Mailing address

11 Hospital Dr
Machias, ME 04654-3325
Phone (207) 546-2391

Other names 1

  • Milbridge Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000327 ME Part A Provider - Rural Health Clinic 6709858194 1 other NPI on this enrollment
Practice locations: Milbridge, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851397475. Details of each certification follow.

Rural health clinic certification: CCN 208507

Legal name
DOWN EAST COMMUNITY HOSPITAL
Doing business as
MILBRIDGE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 1, 2004
Last certification
Feb 24, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 26, 1960 in ME
Enrollment address
24 School Street
Milbridge, ME 04658-0005
Related CCNs
201311

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
20D0089896Milbridge Medical Center24 School St, Milbridge, ME 04658Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Down East Community Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

229 Main St
Machias, ME 04654

229 Main St
Ste 1
Machias, ME 04654

229 Main St
Ste 2
Machias, ME 04654

380 Engle St
Englewood, NJ 07631

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Wayne a Peters Individual OtherBoard Chair Sep 1, 2018
Michael E Hennessey Individual Other Sep 1, 2018
Kathryn M Land Individual OtherBoard Vice Chair Sep 1, 2018
Eric M Burke Individual Other Sep 1, 2018
Lisa M Carlisle Individual Other Sep 1, 2018
Lynnette Parr Individual Corporate Director Apr 1, 2008
Rita F Ten Individual Other Sep 1, 2018
Vicki J Brown Individual Corporate Director Apr 1, 2008
W-2 Managing Employee Dec 1, 2012
Nancy Lewis Individual Other Sep 1, 2018
Steve L Lail Individual Corporate OfficerCeo Oct 31, 2018
Jacqueline M O'Clair Individual Other Sep 1, 2018
Corey K Schwinn Individual Other Sep 1, 2018
Aziz a Massaad Individual Other Sep 1, 2018

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Calais Community HospitalCalais, ME, CCN 201305 Hospital Other Jul 1, 2021
Calais Community HospitalCalais, ME, CCN 20Z305 Hospital Other Jul 1, 2021
Calais Community HospitalCalais, ME, CCN 208509 Rural health clinic Other Jul 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1851397475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL DR",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046543325",
            "telephone_number": "207-546-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SCHOOL ST",
            "city": "MILBRIDGE",
            "state": "ME",
            "postal_code": "046580005",
            "telephone_number": "207-546-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN EAST COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "207-255-0460"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "007244",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ME",
            "license": "007244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milbridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milbridge, ME

Sources for this page

Verify at the official NPI Registry.