Active NPI
Mainehealth
- Skilled Nursing Facility
- Rockland, ME
National Provider Identifier
1962496877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MAINEHEALTH
- Doing business as
- The Knox Center
- Practice address
- 6 White St
Rockland, ME 04841-2953 - Phone
- (207) 594-6800
- Fax
- (207) 594-6730
- NPI assigned
- Sep 7, 2005
- Organization subpart
- Yes
- Parent organization
- MAINEHEALTH
NPPES NPI Registry
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, Mainehealth
- Phone
- (207) 662-3538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6 White St
Rockland, ME 04841-2953
Mailing address
6 White St
Rockland, ME 04841-2953
Phone (207) 594-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104540200 | Medicaid | ME |
Other names 1
- The Knox Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
National Provider Directory
National Provider Directory- Part of
- Maine Medical Assoc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652227200000",
"number": "1962496877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WHITE ST",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412953",
"telephone_number": "207-594-6800",
"fax_number": "207-594-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WHITE ST",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412953",
"telephone_number": "207-594-6800",
"fax_number": "207-594-6730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAINEHEALTH",
"enumeration_date": "2005-09-07",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "ASSOCIATE CFO, MAINEHEALTH",
"authorized_official_telephone_number": "207-662-3538"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104540200",
"state": "ME"
}
],
"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": "The Knox Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Knox Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.