Mainehealth

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

MAINEHEALTH

Doing business as

MaineHealth Pen Bay Hospital Swing Bed

Practice address

6 Glen Cove Dr
Rockport, ME 04856-4272

Phone

(207) 921-8000

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lugene Anthony Inzana

Title

Associate Cfo

Phone

(207) 661-1346

Specialties & licenses 1

Addresses

Other names 1

• MaineHealth Pen Bay Hospital Swing Bed Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942186291. Details of each certification follow.

• CCN 20U063 Hospital · Details

Hospital certification: CCN 20U063

Legal name

MAINEHEALTH

Doing business as

MAINEHEALTH PEN BAY HOSPITAL SWING BED

Organization structure

CorporationNon-profit

Enrollment address

6 Glen Cove Dr
Rockport, ME 48564272
Hospital Swing-Bed Unit

Hospital subgroups

Swing-bed approved

Related certifications (CCN) 1

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

• Mainehealth

  dba MaineHealth Pen Bay Hospital

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305

  Unit of hospital

  Provider of Services

Tax ID family

Mainehealth85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Mainehealth

  dba Maine Medical Center

  • Psychiatric Hospital Unit
  • Sanford, ME
  • NPI 1811917222
  NPD tax ID
• Mainehealth

  dba MMC Vocational Services

  • Developmentally Disabled Services Day Training Agency
  • Portland, ME
  • NPI 1831418128
  NPD tax ID
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  NPD tax ID
• Mainehealth

  dba Coastal Medical Care

  • Dental Clinic/Center
  • Belfast, ME
  • NPI 1851869648
  NPD tax ID
• Mainehealth

  dba MaineHealth Franklin Hospital - Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Farmington, ME
  • NPI 1861184509
  NPD tax ID
• Mainehealth

  dba Mainehealth Pharmacy Maine Medical Center Biddeford

  • Community/Retail Pharmacy
  • Biddeford, ME
  • NPI 1861206195
  NPD tax ID
• Mainehealth

  dba MaineHealth Primary Care Family Medicine

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1861311425
  NPD tax ID
• Mainehealth

  dba MaineHealth John F Andrews Health Center

  • Rural Health Clinic/Center
  • Boothbay Harbor, ME
  • NPI 1881709202
  NPD tax ID
• Mainehealth

  dba MaineHealth Lincoln Hospital

  • Critical Access Hospital
  • Damariscotta, ME
  • NPI 1912094806
  NPD tax ID
• Mainehealth

  • Critical Access Hospital
  • Saco, ME
  • NPI 1912304205
  NPD tax ID
• Mainehealth

  dba MaineHealth Franklin Hospital

  • Critical Access Hospital
  • Farmington, ME
  • NPI 1922791417
  NPD tax ID
• Mainehealth

  dba MaineHealth Mid Coast Hospital

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1932164795
  NPD tax ID

All disclosed owners & managing parties 32

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 5

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

• Lisa T Beaule, MD

  • Urology Physician
  • South Portland, ME
  • NPI 1518913433

  Corporate Director

  CMS ownership
• Brett M Loffredo, MD

  • Family Medicine Physician
  • Gorham, ME
  • NPI 1295809911

  Corporate Director

  CMS ownership
• Daniel L Loiselle, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1316906589

  Corporate Director

  CMS ownership
• Peter C Manning, MD

  • Obstetrics & Gynecology Physician
  • Biddeford, ME
  • NPI 1902977077

  Corporate Director

  CMS ownership
• Thomas J Ryan Jr., M.D.

  • Interventional Cardiology Physician
  • Scarborough, ME
  • NPI 1326019563

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 29

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

• Lincolnhealth Coves Edge

  dba Coves Edge Nursing Facility

  • Nursing Facility/Intermediate Care Facility
  • Damariscotta, ME
  • NPI 1477648962

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Medd Health Center

  • Rural Health Clinic/Center
  • Norway, ME
  • NPI 1053601864

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Franklin Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1245873082

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Primary Care Family Medicine

  • Rural Health Clinic/Center
  • Stockton Springs, ME
  • NPI 1295800118

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Lincoln Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Damariscotta, ME
  • NPI 1316035116

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1346299815

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Herbert and Roberta Watson Health Center

  • Rural Health Clinic/Center
  • Damariscotta, ME
  • NPI 1477629384

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Arthur Jewell Health Center

  • Rural Health Clinic/Center
  • Brooks, ME
  • NPI 1487720215

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba Gregory Wing at St. Andrews Village

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
  • NPI 1528151065

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Behavioral Health at Spring Harbor

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1598798787

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth MT Blue Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1619510047

  Mainehealth Services

  CMS ownership
• Mainehealth

  dba MaineHealth Maine Medical Center

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1760436216

  Mainehealth Services

  CMS ownership

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1942186291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360489",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-921-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-661-1346"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MaineHealth Pen Bay Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maine Molecular Imaging, LLC (Maine Molecular Imaging)
• Mainehealth (Mainehealth Retail Pharmacy)
• Mainehealth (The Pharmacy at Pen Bay Medical Center)
• Mainehealth (MaineHealth Pen Bay Hospital)
• Mainehealth (MaineHealth Pen Bay Hospital)
• Mainehealth (MaineHealth Pen Bay Hospital)
• Mainehealth Care at Home (MaineHealth Home Health and Hospice)
• Alison R Maloof, ND
• Rohith R Malya, MD
• John Mamon, MD

• Medicare Defined Swing Bed Hospital Unit in Rockport, ME
• Providers in Rockport, ME by specialty
• Medicare Defined Swing Bed Hospital Unit in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.