| Sacopee Valley Health Center | |
|
70 Main St Porter ME 04068-3527 | |
| (207) 625-8126 | |
| (207) 625-7820 |
| Full Name | Sacopee Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 70 Main St, Porter, Maine |
| Authorized Official Name and Position | Michelle Eastman (CFO) |
| Authorized Official Contact | 2076258126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacopee Valley Health Center 70 Main St Porter ME 04068-3527 Ph: (207) 625-8126 | Sacopee Valley Health Center 70 Main St Porter ME 04068-3527 Ph: (207) 625-8126 |
| NPI Number | 1952470411 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 5597664854 |
|---|---|
| Medicare Enrollment ID | O20040106000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952470411 | NPI | - | NPPES |
| 999909028 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gene M Royer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992776017 PECOS PAC ID: 5395716336 Enrollment ID: I20041118000705 |
| Provider Name | Daniel W Bates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639197932 PECOS PAC ID: 0648273961 Enrollment ID: I20060807000014 |
| Provider Name | Richard A Steinmetz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063595817 PECOS PAC ID: 1557466620 Enrollment ID: I20070418000214 |
| Provider Name | Christopher Todd Kitchens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932410883 PECOS PAC ID: 5991951758 Enrollment ID: I20120809000587 |
| Provider Name | Thomas P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407978216 PECOS PAC ID: 7911213053 Enrollment ID: I20150903000976 |
| Provider Name | Ashley L Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902321102 PECOS PAC ID: 6406121029 Enrollment ID: I20171009000825 |
| Provider Name | Linda Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316376049 PECOS PAC ID: 2567774656 Enrollment ID: I20180514000151 |
| Provider Name | Amanda L Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215413851 PECOS PAC ID: 9032468566 Enrollment ID: I20180816002418 |
| Provider Name | Jennifer Marie Drouin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482916 PECOS PAC ID: 5597198903 Enrollment ID: I20191125002220 |
| Provider Name | Lori A Lenart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922649417 PECOS PAC ID: 7719312552 Enrollment ID: I20200124000195 |
| Provider Name | Amanda Hoegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093336869 PECOS PAC ID: 6406272632 Enrollment ID: I20200818002144 |
| Provider Name | Kristina Lauderback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710221890 PECOS PAC ID: 7416368311 Enrollment ID: I20201125001662 |
| Provider Name | Rachelle Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588265979 PECOS PAC ID: 8729493978 Enrollment ID: I20210219001951 |
| Provider Name | Melissa Beauregard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770184269 PECOS PAC ID: 5890100044 Enrollment ID: I20210219002105 |
| Provider Name | Natasha Lynn Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710529680 PECOS PAC ID: 6204241276 Enrollment ID: I20210225000898 |
| Provider Name | Alan Goldenhar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851315071 PECOS PAC ID: 2163445768 Enrollment ID: I20210304001396 |
| Provider Name | Haylie Priscilla Genoa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144891482 PECOS PAC ID: 7315344272 Enrollment ID: I20210921001057 |
| Provider Name | Faye E. Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114692878 PECOS PAC ID: 8729485537 Enrollment ID: I20210921003425 |
| Provider Name | Samantha Deveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597253 PECOS PAC ID: 2466806468 Enrollment ID: I20230925002900 |
| Provider Name | Michelle Bond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215392899 PECOS PAC ID: 3678924545 Enrollment ID: I20240105000293 |
| Provider Name | Catherine M Duthie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972678944 PECOS PAC ID: 7012368848 Enrollment ID: I20240105002697 |
| Provider Name | Lynne Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063666147 PECOS PAC ID: 5193242204 Enrollment ID: I20250512001720 |