NPIMap

Organization Active NPI

Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
National Provider Identifier
1922001049
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
37339 Issued in ME
Legal business name
CALAIS COMMUNITY HOSPITAL
Practice address
24 Hospital LN
Calais, ME 04619-1329
Phone
(207) 454-7521
Fax
(207) 454-3616
NPI assigned
May 23, 2005
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Lynette Parr
Title
Cfo
Phone
(207) 454-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 37339 ME Primary

Addresses

Primary practice location

24 Hospital LN
Calais, ME 04619-1329

Mailing address

24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-7521

Other identifiers 6

IdentifierTypeStateIssuer
010211783OtherMETRICARE
0012304OtherMEAETNA
0439887OtherMECIGNA
000008OtherMEANTHEM BLUE CROSS
101960100MedicaidME
900800OtherMEHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040706000791 ME Part B Supplier - Clinic/Group Practice 6901715176 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
Practice locations: Calais, ME; Eastport, ME
O20210527002720 ME Part A Provider - Critical Access Hospital 0345649158 Receives reassigned benefits from 45 practitioners
Practice locations: Calais, ME
O20210910001201 ME Part B Supplier - Hospital Department(S) 0345649158 Receives reassigned benefits from 91 practitioners
1 other NPI on this enrollment
Practice locations: Calais, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922001049. Details of each certification follow.

Hospital certification: CCN 201305

Legal name
CALAIS COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2001
Last certification
Aug 14, 2019
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2021 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 3, 2021 in ME
Enrollment address
24 Hospital LN
Calais, ME 46191329
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 3

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Calais Community HospitalCCN 201305 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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 Corporate DirectorBoard Member Mar 3, 2021
Michael E Hennessey Individual Corporate OfficerBoard Treasurer Mar 3, 2021
Kathryn M Land Individual Corporate OfficerBoard Chairman Mar 3, 2021
Eric M Burke Individual Corporate DirectorBoard Member Mar 3, 2021
Lisa M Carlisle Individual Corporate OfficerBoard Vice Chairman Mar 3, 2021
Usda Department of Agriculture Rural Development Organization, Bangor, ME Created for acquisition, Corporation 5% Or Greater Mortgage Interest Jul 1, 2021 100%
John M Corrigan Individual Corporate DirectorBoard Member Mar 3, 2021
Lynnette Parr Individual Corporate OfficerCfo Mar 3, 2021
Rita F Ten Individual Corporate DirectorBoard Member Mar 3, 2021
Steve L Lail Individual Corporate OfficerCeo Jul 1, 2021
Karen Eldrigde Individual Corporate DirectorBoard Member Mar 3, 2021
Down East Community Hospital Organization, Machias, ME Corporation, Non-profit Other Jul 1, 2021
Genevieve Westhaver Individual W-2 Managing EmployeeDirector of Nursing May 1, 2021
Jacqueline M O'Clair Individual Corporate DirectorBoard Member Mar 3, 2021
Rose M St. Louis Individual Corporate DirectorBoard Member Mar 3, 2021
Corey K Schwinn Individual Corporate DirectorBoard Member Mar 3, 2021
Betty J Marshall Individual Corporate DirectorBoard Member Mar 3, 2021
Christian I Inegbeniji Individual Corporate DirectorBoard Member Mar 3, 2021
Nate J Martell Individual Corporate OfficerBoard Member Secretary Mar 3, 2021

Owners & managing parties with NPI records 8

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

Practitioners & affiliated clinicians

Practitioners 126

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 126

Affiliated clinicians 92

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1922001049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-7521",
            "fax_number": "207-454-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-7521",
            "fax_number": "207-454-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAIS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "PARR",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-454-9229"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ME",
            "license": "37339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "010211783",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0012304",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0439887",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000008",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101960100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "900800",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

Verify at the official NPI Registry.