Organization Active NPI

Mainegeneral Health

Doing business as HealthReach Network

  • Community/Behavioral Health Agency
  • Waterville, ME
National Provider Identifier
1932268026
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
221903 AND 230503 Issued in ME
Legal business name
MAINEGENERAL HEALTH
Doing business as
HealthReach Network
MaineGeneral Community Care
Practice address
10 Water St
Ste 306
Waterville, ME 04901-6559
Phone
(207) 861-3488
Fax
(207) 861-3470
NPI assigned
Dec 6, 2006
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Melody Lynn Morin
Title
Accounting and Finance Coordinator
Phone
(207) 872-1639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 221903 AND 230503 ME Primary

Addresses

Primary practice location

10 Water St
Ste 306
Waterville, ME 04901-6559

Mailing address

10 Water St
Ste 306
Waterville, ME 04901-6559
Phone (207) 861-3488

Other names 2

  • HealthReach Network Doing business as
  • MaineGeneral Community Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000708 ME Part B Supplier - Clinic/Group Practice 2163316548 Receives reassigned benefits from 12 practitioners
Practice locations: Augusta, ME; Waterville, ME

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Maine General Community Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1932268026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WATER ST",
            "address_2": "STE 306",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016559",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WATER ST",
            "address_2": "STE 306",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016559",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ACCOUNTING AND FINANCE COORDINATOR",
        "authorized_official_telephone_number": "207-872-1639"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "221903 AND 230503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthReach Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthReach Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineGeneral Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.