Bucksport Regional Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

BUCKSPORT REGIONAL HEALTH CENTER

Practice address

24 Lejok St
Ellsworth, ME 04605-4767

Phone

(207) 667-6054

NPI assigned

Nov 1, 2022

Organization subpart

Yes

Parent organization

BUCKSPORT REGIONAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Carol Carew, RN, BSN, MBA

Title

Ceo

Phone

(207) 469-7371

Specialties & licenses 3

Addresses

Other names 1

• Bucksport Regional Health Center Ellsworth School Other name

Electronic endpoints 1

Tax ID family

Bucksport Reg Health Center3 organizations share this tax ID, including this one

Part of

Bucksport Reg Health Center

Other organizations with this tax ID 2

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

• Bucksport Regional Health Center

  • Clinical Medical Laboratory
  • Bucksport, ME
  • NPI 1457599813
  NPD tax ID
• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Ellsworth, ME
  • NPI 1568125011
  NPD tax ID

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1992412787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BROADWAY",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044164612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LEJOK ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046054767",
            "telephone_number": "207-667-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKSPORT REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUCKSPORT REGIONAL HEALTH CENTER",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-469-7371",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eClinicalWorks",
            "affiliation": "Y",
            "affiliationName": "Bucksport Regional Health Center",
            "address_1": "110 Broadway",
            "city": "Bucksport",
            "state": "ME",
            "country_code": "US",
            "postal_code": "04416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bucksport Regional Health Center Ellsworth School",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bucksport Regional Health Center Ellsworth School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meaghan M Brown, D.C.,LIC. AC,DIP. AC
• Olivia Brown, MHRT CSP
• Tarra Bryant
• Mindy Sue Louise Bubar, CADC
• Bucksport Regional Health Center
• Kimberly Ann Burgess, LSW-C, BHP
• Brittany Marie Burke, RN
• Ashley Burns, LCPC-C
• Amy M Burrell, LCPC
• Elizabeth Diane Byard, RNC FNP

• All providers in Ellsworth, ME
• Federally Qualified Health Center (FQHC) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.