NPIMap

Organization Active NPI

Down East Community Hospital

Doing business as Arnold Memorial Medical Center

  • Family Medicine Physician
  • Jonesport, ME
National Provider Identifier
1922550417
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOWN EAST COMMUNITY HOSPITAL
Doing business as
Arnold Memorial Medical Center
Practice address
70 Snare Creek LN
Jonesport, ME 04649-3139
Phone
(207) 497-5614
NPI assigned
Oct 31, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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 Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

70 Snare Creek LN
Jonesport, ME 04649-3139

Mailing address

11 Hospital Dr
Machias, ME 04654-3325
Phone (207) 497-5614

Other names 1

  • Arnold Memorial 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
O20161221001968 ME Part A Provider - Rural Health Clinic 6709858194 Practice locations: Jonesport, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922550417. Details of each certification follow.

Rural health clinic certification: CCN 208523

Legal name
DOWN EAST COMMUNITY HOSPITAL
Doing business as
ARNOLD MEMORIAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 7, 2017
Last certification
Feb 26, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1964 in ME
Enrollment address
70 Snare Creek LN
Jonesport, ME 04649-3139
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).

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.

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
Judd Bragg Individual Operational/Managerial Control Jan 1, 2022
Michael E Hennessey Individual Operational/Managerial Control Jun 1, 2012
Ian Pratt Individual Operational/Managerial Control Jan 1, 2022
John M Corrigan Individual Operational/Managerial Control Jun 1, 2014
Lynnette Parr Individual Corporate OfficerCfo Feb 1, 2017
W-2 Managing EmployeeCfo Feb 1, 2017 100%
Gwen C Jones Individual Operational/Managerial Control Jan 1, 2022
Rita F Ten Individual Operational/Managerial Control Jan 1, 2022
Steve L Lail Individual Corporate OfficerCeo Jan 1, 2018
Jacqueline M O'Clair Individual Corporate OfficerSecretary Jan 1, 2022
Corey K Schwinn Individual Operational/Managerial Control Jun 1, 2016
Betty J Marshall Individual Operational/Managerial Control Jan 1, 2022
Christian I Inegbeniji Individual Operational/Managerial Control Jan 1, 2022
Nate J Martell Individual Corporate OfficerChair Jan 1, 2022

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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1922550417",
    "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": "207-497-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SNARE CREEK LN",
            "city": "JONESPORT",
            "state": "ME",
            "postal_code": "046493139",
            "telephone_number": "207-497-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN EAST COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-11-07",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnold Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesport, ME

Sources for this page

Verify at the official NPI Registry.