Mainehealth

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MAINEHEALTH

Doing business as

MaineHealth John F Andrews Health Center
MaineHealth Primary Care Family Medicine
MaineHealth Wound Care

Practice address

19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732

Phone

(207) 633-7820

Fax

(207) 633-7082

NPI assigned

Aug 19, 2006

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MAINEHEALTHAs reported in NPPES

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

Phone

(207) 662-2272

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 3

• MaineHealth John F Andrews Health Center Doing business as
• MaineHealth Primary Care Family Medicine Doing business as
• MaineHealth Wound Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881709202. Details of each certification follow.

• CCN 203975 Rural health clinic · Active · Details

Rural health clinic certification: CCN 203975

Legal name

MAINEHEALTH

Doing business as

MAINEHEALTH JOHN F ANDREWS HEALTH CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 31, 1997

Last certification

Jan 3, 2025

Ownership / control type

2B

Most recent change of ownership

Jan 1, 2019 (3 total)

Organization structure

CorporationNon-profit

Incorporated

Mar 21, 1951 in ME

Enrollment address

19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732

Related CCNs

201302

Related certifications (CCN) 1

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

• Mainehealth

  dba MaineHealth Lincoln Hospital

  • Critical Access Hospital
  • Damariscotta, ME
  • NPI 1912094806

  Parent provider

  Provider of Services

Tax ID family

Maine Medical Assoc85 organizations share this tax ID, including this one

Part of

Maine Medical Assoc

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.

• Mainehealth

  dba MaineHealth Cardiac and Pulmonary Rehab

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1760301303
  NPD tax ID
• Mainehealth

  dba MaineHealth EMS

  • Ambulance
  • Scarborough, ME
  • NPI 1780419499
  NPD tax ID
• Mainehealth

  dba MaineHealth Primary Care Walk-in Care

  • General Acute Care Hospital
  • Rockland, ME
  • NPI 1780512517
  NPD tax ID
• Mainehealth

  dba MaineHealth Pediatrics

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1811288061
  NPD tax ID
• Mainehealth

  dba MaineHealth Livermore Falls Health Center

  • Rural Health Clinic/Center
  • Livermore Falls, ME
  • NPI 1811451081
  NPD tax ID
• Mainehealth

  dba Maine Medical Center

  • Psychiatric Hospital Unit
  • Sanford, ME
  • NPI 1811917222
  NPD tax ID
• Mainehealth

  dba MMC Vocational Services

  • Developmentally Disabled Services Day Training Agency
  • Portland, ME
  • NPI 1831418128
  NPD tax ID
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  NPD tax ID
• Mainehealth

  dba Coastal Medical Care

  • Dental Clinic/Center
  • Belfast, ME
  • NPI 1851869648
  NPD tax ID
• Mainehealth

  dba MaineHealth Franklin Hospital - Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Farmington, ME
  • NPI 1861184509
  NPD tax ID
• Mainehealth

  dba Mainehealth Pharmacy Maine Medical Center Biddeford

  • Community/Retail Pharmacy
  • Biddeford, ME
  • NPI 1861206195
  NPD tax ID
• Mainehealth

  dba MaineHealth Primary Care Family Medicine

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1861311425
  NPD tax ID

Locations

All disclosed owners & managing parties 35

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

Owners & managing parties with NPI records 5

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

• Lisa T Beaule, MD

  • Urology Physician
  • South Portland, ME
  • NPI 1518913433

  Corporate Director

  CMS ownership
• Brett M Loffredo, MD

  • Family Medicine Physician
  • Gorham, ME
  • NPI 1295809911

  Corporate Director

  CMS ownership
• Daniel L Loiselle, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1316906589

  Corporate Director

  CMS ownership
• Peter C Manning, MD

  • Obstetrics & Gynecology Physician
  • Biddeford, ME
  • NPI 1902977077

  Corporate Director

  CMS ownership
• Thomas J Ryan Jr., M.D.

  • Interventional Cardiology Physician
  • Scarborough, ME
  • NPI 1326019563

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 2

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

Facilities with the same owner 29

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

• Lincolnhealth Coves Edge

  dba Coves Edge Nursing Facility

  • Nursing Facility/Intermediate Care Facility
  • Damariscotta, ME
  • NPI 1477648962

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Medd Health Center

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1053601864

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Franklin Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1245873082

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Primary Care Family Medicine

  • Rural Health Clinic/Center
  • Stockton Springs, ME
  • NPI 1295800118

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Lincoln Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
  • NPI 1316035116

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1346299815

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Herbert and Roberta Watson Health Center

  • Rural Health Clinic/Center
  • Damariscotta, ME
  • NPI 1477629384

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Arthur Jewell Health Center

  • Rural Health Clinic/Center
  • Brooks, ME
  • NPI 1487720215

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba Gregory Wing at St. Andrews Village

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
  • NPI 1528151065

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Behavioral Health at Spring Harbor

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1598798787

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth MT Blue Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1619510047

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Maine Medical Center

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1760436216

  Mainehealth Services

  CMS ownership

Practitioners 20

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.

• John D Clark, PA-C

  • Surgical Physician Assistant
  • Damariscotta, ME
  • NPI 1841228889
  NPD (past)
• Ann M Coughlan, M.D.

  • Internal Medicine Physician
  • Damariscotta, ME
  • NPI 1003997115
  NPD (past)
• Amy K Etzweiler, MD

  • Internal Medicine Physician
  • Bath, ME
  • NPI 1568469401
  NPD (past)
• Steven E. Feder, D.O.

  • Pediatrics Physician
  • Newcastle, ME
  • NPI 1952397572
  NPD (past)
• Timothy T. Goltz, M.D.

  • Family Medicine Physician
  • Damariscotta, ME
  • NPI 1245226869
  NPD (past)
• Robert N. Hunold, D.O.

  • Family Medicine Physician
  • Damariscotta, ME
  • NPI 1013107879
  NPD (past)
• Lora J Jobe, MD

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1366469454
  NPD (past)
• Kristin E. Kentopp, M.D.

  • Internal Medicine Physician
  • Damariscotta, ME
  • NPI 1366449258
  NPD (past)
• Thomas H Lyons, MD

  • Surgery Physician
  • Damariscotta, ME
  • NPI 1861490989
  NPD (past)
• Sean J. Moran, M.D.

  • Orthopaedic Surgery Physician
  • Damariscotta, ME
  • NPI 1457346389
  NPD (past)
• Ronald H Prokopius, MD

  • Hospitalist Physician
  • Blue Hill, ME
  • NPI 1295732097
  NPD (past)
• Jennifer S Smith, MD

  • Hospitalist Physician
  • Damariscotta, ME
  • NPI 1124026778

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1881709202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045530745",
            "telephone_number": "207-563-4146",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SAINT ANDREWS LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381732",
            "telephone_number": "207-633-7820",
            "fax_number": "207-633-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "207-662-2272"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881709202-002",
            "state": "ME"
        }
    ],
    "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 John F Andrews Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth Primary Care Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainehealth (Assisted Living at St. Andrews Village)
• Mainehealth (Safe Haven at St. Andrews Village)
• Mainehealth (Gregory Wing at St. Andrews Village)
• Mainehealth (Safe Havens at St. Andrews Village)
• Mainehealth (Gregory Wing at St. Andrews Village)
• Shane Taylor McNear
• Mid-Coast Spine & Sport LLC
• Miles Memorial Hospital (MMG Pediatrics-Boothbay A Department of Miles Memorial Hospital)
• David G Millay, M.D.
• Carrie L Mitchell, PTA

• Rural Health Clinic/Center in Boothbay Harbor, ME
• Providers in Boothbay Harbor, ME by specialty
• Rural Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.