Organization Active NPI

Mainehealth

Doing business as MaineHealth Pen Bay Hospital

  • General Acute Care Hospital
  • Rockport, ME
National Provider Identifier
1982645305
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
36280 Issued in ME
Legal business name
MAINEHEALTH
Doing business as
MaineHealth Pen Bay Hospital
Practice address
6 Glen Cove Dr
Rockport, ME 04856-4240
Phone
(207) 596-8000
Fax
(207) 594-6730
NPI assigned
Jun 9, 2006
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Robert Hunter
Title
Senior Vice President - Finance
Phone
(207) 661-1348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 36280 ME Primary

Addresses

Primary practice location

6 Glen Cove Dr
Rockport, ME 04856-4240

Mailing address

4 White St
Rockland, ME 04841-2953
Phone (207) 594-6757

Other identifiers 2

IdentifierTypeStateIssuer
126810000MedicaidME
104540000MedicaidME

Other names 1

  • MaineHealth Pen Bay Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060316000020 ME Part B Supplier - Clinic/Group Practice 2163320508 Receives reassigned benefits from 61 practitioners
1 other NPI on this enrollment
Practice locations: Rockport, ME; Waldoboro, ME; Belfast, ME
O20181105002613 ME Part A Provider - Hospital 7517860588 Practice locations: Rockport, ME; Waldoboro, ME; Rockland, ME; Camden, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982645305. Details of each certification follow.

Hospital certification: CCN 200063

Legal name
MAINEHEALTH
Doing business as
MAINEHEALTH PEN BAY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 5, 1975
Last certification
Nov 8, 2018
Beds
109
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
6 Glen Cove Dr
Rockport, ME 48564272
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mainehealth Pen Bay HospitalCCN 200063 · All quality measures
Overall star rating
3 of 5
Type
Acute Care 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 organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

15 Mid Coast Dr
Belfast, ME 04915
Phone (207) 338-2295

79 Schooner St
#1
Damariscotta, ME 04543
Phone (207) 563-7770

4 White St
Rockland, ME 04841
Phone (207) 594-6763

87 Limerock St
Rockland, ME 04841
Phone (207) 594-0706

4 Glen Cove Dr
Ste 102
Rockport, ME 04856
Phone (207) 593-5757

4 Glen Cove Dr
Ste 109
Rockport, ME 04856
Phone (207) 301-5500

4 Glen Cove Dr
Ste 205
Rockport, ME 04856
Phone (207) 301-5700

6 Madelyn Ln
Rockport, ME 04856
Phone (207) 301-6380

731 Commercial St
Ste 2
Rockport, ME 04856
Phone (207) 594-2002

756 Commercial St
Rockport, ME 04856
Phone (207) 593-5400

756 Commercial St
#C
Rockport, ME 04856
Phone (207) 921-3999

27 Mill St
Waldoboro, ME 04572
Phone (207) 832-2300

40 Washington Rd
Waldoboro, ME 04572
Phone (207) 832-4399

75 Winslows Mills Rd
Waldoboro, ME 04572
Phone (207) 832-4399

Ownership & related parties

All disclosed owners & managing parties 33

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy a Hasenfus Individual Corporate DirectorDirector Jan 1, 2019
Melissa Smith Individual Corporate DirectorDirector Jan 1, 2019
Brett Loffredo Individual Corporate DirectorDirector Jan 1, 2021
Lugene a Inzana Individual Corporate OfficerAssociate Cfo Jan 1, 2019
Brian H Noyes Individual Corporate DirectorDirector Jan 1, 2019
Dawn M Tutt Individual W-2 Managing EmployeeManager, RCM System Support Dec 30, 2013
Marie J McCarthy Individual Corporate DirectorDirector Jan 1, 2019
Matthew Chin Individual Corporate DirectorBoard Member Dec 1, 2025
Katherine B Coster Individual Corporate DirectorDirector Jan 1, 2019
Beth Kelsch Individual Corporate OfficerSecretary Jan 1, 2019
Robert Hunter Individual Corporate OfficerSenior Vice President Dec 1, 2025
Ann W Bresnahan Individual Corporate DirectorBoard Member Dec 1, 2025
Andrew T Mueller Individual Corporate OfficerCeo Apr 8, 2021
Lisa T Beaule Individual Corporate DirectorDirector Jan 1, 2019
Charles Richard Bayman Individual Corporate OfficerCfo Dec 1, 2025
Corporate DirectorCfo Board Member Dec 1, 2025
Kelly a Elkins Individual Corporate OfficerCoo Jan 1, 2019
Peter W Wood Individual Corporate DirectorDirector Jan 1, 2019
Thomas J Ryan Individual Corporate Director Jan 1, 2019
David J Kumaki Individual Corporate DirectorDirector Jan 1, 2019
Quincy Hentzel Individual Corporate DirectorBoard Member Dec 1, 2025
Morris L Fisher Individual Corporate DirectorDirector Jan 1, 2019
Leslie Clinton Boothby Individual Corporate DirectorDirector Jan 1, 2019
Kathleen Herlihy Individual Corporate DirectorDirector Jan 1, 2019
Mainehealth Services Organization, Portland, ME Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2011 100%
Linda M. Terry Individual Corporate DirectorDirector Jan 1, 2019
Heather R Shanklin Individual Corporate OfficerRegional Cfo Aug 14, 2023
Peter C Manning Individual Corporate DirectorDirector Jan 1, 2019
Alissa Chasse Individual W-2 Managing EmployeeRCM Systems Coordinator II Dec 30, 2013
Sandra Morrell-Rooney Individual Corporate DirectorDirector Jan 1, 2021
Daniel L Loiselle Individual Corporate DirectorDirector Jan 1, 2019
Matthew P Orlando Individual Corporate DirectorBoard Member Dec 1, 2025
Stuart H Watson Individual Corporate DirectorDirector Jan 1, 2021
Amanda Rand Individual Corporate DirectorDirector Jan 1, 2019

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Mid Coast Senior Health CenterBrunswick, ME, CCN 205163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2021
Oct 16, 2025
Coves EdgeDamariscotta, ME, CCN 205067 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 2019
Jan 1, 2019
Jan 1, 2019

Facilities with the same owner 29

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

View all 29

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 437

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

View all 437

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1982645305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WHITE ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412953",
            "telephone_number": "207-594-6757",
            "fax_number": "207-594-6730"
        },
        {
            "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": "048564240",
            "telephone_number": "207-596-8000",
            "fax_number": "207-594-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "207-661-1348"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": "36280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126810000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104540000",
            "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": "MaineHealth Pen Bay Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.