| Calais Community Hospital | |
|
37 Palmer St Calais ME 04619-1305 | |
| (207) 454-8150 | |
| (207) 454-0256 |
| Full Name | Calais Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 37 Palmer St, Calais, Maine |
| Authorized Official Name and Position | Lynnette Parr (CFO) |
| Authorized Official Contact | 2072550269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calais Community Hospital 43 Palmer St Calais ME 04619-1305 Ph: (207) 454-8150 | Calais Community Hospital 37 Palmer St Calais ME 04619-1305 Ph: (207) 454-8150 |
| NPI Number | 1134200702 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 07/30/2021 |
| Medicare PECOS PAC ID | 6901715176 |
|---|---|
| Medicare Enrollment ID | O20040701001571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134200702 | NPI | - | NPPES |
| 432126600 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 208509 (Maine) | Primary |
| Provider Name | Peter S Wilkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578594818 PECOS PAC ID: 1052348943 Enrollment ID: I20050722000123 |
| Provider Name | Nima Moghaddas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376625426 PECOS PAC ID: 8022045756 Enrollment ID: I20050725000333 |
| Provider Name | James E Eshleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285630889 PECOS PAC ID: 9032180419 Enrollment ID: I20090311000024 |
| Provider Name | Curt Hofer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306043484 PECOS PAC ID: 6507916632 Enrollment ID: I20090611000570 |
| Provider Name | Lisa S Milne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396701470 PECOS PAC ID: 5395846349 Enrollment ID: I20131016001577 |
| Provider Name | Alexandra Me Idenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992133102 PECOS PAC ID: 5890911150 Enrollment ID: I20140722000965 |
| Provider Name | Jodiann T Ledford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881910149 PECOS PAC ID: 3870810047 Enrollment ID: I20150327000305 |
| Provider Name | Walter E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619944600 PECOS PAC ID: 5395658736 Enrollment ID: I20150730011500 |
| Provider Name | Andrea F Palencar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790705788 PECOS PAC ID: 6204733496 Enrollment ID: I20151216000367 |
| Provider Name | Karen E Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467643684 PECOS PAC ID: 4688892573 Enrollment ID: I20160425000722 |
| Provider Name | Michael L Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205931565 PECOS PAC ID: 4688681430 Enrollment ID: I20160502001632 |
| Provider Name | Francis Y Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932169083 PECOS PAC ID: 0042281594 Enrollment ID: I20171218000043 |
| Provider Name | Carma L Shumake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992842785 PECOS PAC ID: 0840430740 Enrollment ID: I20180322000618 |
| Provider Name | Ericka K Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104319169 PECOS PAC ID: 8325397458 Enrollment ID: I20180822001114 |
| Provider Name | Erica L Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770069049 PECOS PAC ID: 2264785971 Enrollment ID: I20181026000909 |
| Provider Name | Amy M Kaminski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063702587 PECOS PAC ID: 0749590529 Enrollment ID: I20200501000337 |
| Provider Name | Elizabeth M Incannella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275145393 PECOS PAC ID: 4385064468 Enrollment ID: I20201009002497 |
Calais Regional Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43 Palmer St, Suite 2, Calais, ME 04619 Phone: 207-454-8233 Fax: 207-454-0086 | |
St Croix Regional Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Blue Devil Hill, Calais, ME 04619 Phone: 207-796-5033 Fax: 207-796-5528 | |
St Croix Regional Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Lowell St Ste 4, Calais, ME 04619 Phone: 207-796-5503 Fax: 207-796-5528 | |
City Of Calais Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Blue Devil Hill, Calais, ME 04619 Phone: 207-454-8262 Fax: 207-454-8262 | |
John Tkach Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Lowell St, Suite 6, Calais, ME 04619 Phone: 207-454-3500 Fax: 207-454-3503 | |
St Croix Regional Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Lowell St Ste 4, Calais, ME 04619 Phone: 207-796-5503 Fax: 207-796-5528 |