MRH Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MRH CORP.

Doing business as

Northern Light Primary Care Corinth

Practice address

492 Main St
Corinth, ME 04427-3273

Phone

(207) 285-3435

Fax

(207) 564-1284

NPI assigned

Oct 2, 2006

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MRH CORP.As reported in NPPES

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

Authorized official

Name

Randall Clark

Title

President

Phone

(207) 564-4256

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Northern Light Primary Care Corinth Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891888657. Details of each certification follow.

• CCN 208522 Rural health clinic · Active · Details

Rural health clinic certification: CCN 208522

Legal name

MRH CORP

Doing business as

NORTHERN LIGHT PRIMARY CARE CORINTH

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Aug 15, 1997

Last certification

Mar 5, 2025

Ownership / control type

2B

Most recent change of ownership

Mar 1, 2020 (2 total)

Organization structure

CorporationNon-profit

Incorporated

Jun 17, 2019 in ME

Enrollment address

492 Main St
Corinth, ME 04427-3273

Related CCNs

201309

Related certifications (CCN) 1

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

• MRH Corp.

  dba Mayo Regional Hospital

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103

  Parent provider

  Provider of Services

Other NPIs with the same Medicare PAC ID 4

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

• MRH Corp.

  dba Northern Light Primary Care Milo

  • Family Medicine Physician
  • Milo, ME
  • NPI 1033231154

  1355770892

  Same PAC ID
• MRH Corp.

  dba Northern Light Primary Care Dover-Foxcroft

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1548382328

  1355770892

  Same PAC ID
• MRH Corp.

  dba Northern Light Mayo Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Dover Foxcroft, ME
  • NPI 1548463623

  1355770892

  Same PAC ID
• MRH Corp.

  dba Mayo Regional Hospital

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103

  1355770892

  Same PAC ID

Tax ID family

MRH Corp3 organizations share this tax ID, including this one

Part of

MRH Corp

Other organizations with this tax ID 2

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

• MRH Corp.

  dba Northern Light Primary Care Milo

  • Family Medicine Physician
  • Milo, ME
  • NPI 1033231154
  NPD tax ID
• MRH Corp.

  dba Northern Light Primary Care Dover-Foxcroft

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1548382328
  NPD tax ID

All disclosed owners & managing parties 18

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 2

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

• Lori Michelle Towne, NP

  • Nurse Practitioner
  • Dexter, ME
  • NPI 1417269242

  Corporate Director

  CMS ownership
• Galen G. Durose, MD

  • Family Medicine Physician
  • Dennison, OH
  • NPI 1528059409

  Corporate Director

  CMS ownership

Change-of-ownership history 2

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1891888657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-4251",
            "fax_number": "207-564-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 MAIN ST",
            "city": "CORINTH",
            "state": "ME",
            "postal_code": "044273273",
            "telephone_number": "207-285-3435",
            "fax_number": "207-564-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRH CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MRH CORP.",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-564-4256"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC #",
            "identifier": "208522",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Light Primary Care Corinth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jsa Enterprises LLC
• Katahdin Valley Health Center
• Katahdin Valley Health Center
• Traci L Kennedy, PT, DPT
• Maine School Administrative District No. 64
• Elaine Ann Ouellette, OTA/L
• Heidi Marie Plourde, LCPC, LSW
• Lucille E. Potter, LMT
• Anette Poulin, PAC
• Madison Pullen, FNP

• Family Medicine Physician in Corinth, ME
• Providers in Corinth, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.