NPIMap

Organization Active NPI

Rumford Community Family Health Center, Inc.

Doing business as Elsemore Dixfield Family Medicine

  • Rural Health Clinic/Center
  • Dixfield, ME
National Provider Identifier
1902841083
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
203988 Issued in ME
Legal business name
RUMFORD COMMUNITY FAMILY HEALTH CENTER, INC.
Doing business as
Elsemore Dixfield Family Medicine
Practice address
146 Weld St
Dixfield, ME 04224-9614
Phone
(207) 562-4226
NPI assigned
Jun 20, 2006
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Mr. John Kroger, MDNPI 1538131024
Title
Division Chief
Phone
(207) 369-0146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 203988 ME Primary

Addresses

Primary practice location

146 Weld St
Dixfield, ME 04224-9614

Mailing address

430 Franklin St
Rumford, ME 04276-2104
Phone (207) 562-4226

Other identifiers 3

IdentifierTypeStateIssuer
125700000MedicaidME
125700101MedicaidME
000209012MedicaidME

Other names 1

  • Elsemore Dixfield Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040715000176 ME Part B Supplier - Clinic/Group Practice 1557340460 Receives reassigned benefits from 77 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dixfield, ME; Rumford, ME
O20120912000051 ME Part A Provider - Rural Health Clinic 1557340460 Practice locations: Dixfield, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902841083. Details of each certification follow.

Rural health clinic certification: CCN 203988

Legal name
RUMFORD COMMUNITY FAMILY HEALTH CENTER INC.
Doing business as
ELSEMORE DIXFIELD FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 31, 2002
Last certification
Nov 29, 2016
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 2, 1993 in ME
Enrollment address
146 Weld St
Dixfield, ME 04224-9614

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

146 Weld St
Dixfield, ME 04224
Phone (207) 562-4226

431 Franklin St
Rumford, ME 04276
Phone (207) 364-7831

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
Central Maine Healthcare Corporation Organization, Lewiston, ME Corporation, Chain home office Operational/Managerial Control Dec 21, 2007
David P Paulosky Individual Corporate OfficerCfo Feb 16, 2026
Sundeep Bhatia Individual Corporate Director Feb 16, 2026
Allen Stefanek Individual Corporate OfficerCeo Feb 16, 2026
Wesley Lew Individual Corporate Director Feb 16, 2026
Eric French Individual W-2 Managing EmployeeDirector Financial Planning & Reimb Feb 16, 2026
Steven Aleman Individual Corporate Director Feb 16, 2026
Christopher Doan Individual Corporate OfficerBoard Assistant Secretary Feb 16, 2026
Kristen R St. Peter Individual W-2 Managing EmployeeVice President Finance Mar 8, 2021
Sonia C Mehta Individual Corporate Director Feb 16, 2026
Marney H Chalmers Individual Corporate DirectorBoard Member Jan 8, 2021
Austin R Albert Individual Corporate DirectorBoard Member Jan 8, 2018
Elizabeth Shew Individual Corporate DirectorSr Associate General Counsel Oct 1, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1902841083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-562-4226",
            "fax_number": "207-562-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WELD ST",
            "city": "DIXFIELD",
            "state": "ME",
            "postal_code": "042249614",
            "telephone_number": "207-562-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUMFORD COMMUNITY FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "KROGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "207-369-0146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ME",
            "license": "203988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125700000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125700101",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000209012",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elsemore Dixfield Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dixfield, ME

Sources for this page

Verify at the official NPI Registry.