SEAPORT COMMUNITY HEALTH CENTER
NPI 1023458320
Clinic/Center - Federally Qualified Health Center (FQHC) in Belfast, ME

NPI Status: Active since July 01, 2013

Contact Information

29 SCHOODIC DR
BELFAST, ME
ZIP 04915
Phone: (207) 338-6900

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 20D0090474
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 02-27-2027

About SEAPORT COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Seaport Community Health Center, a primary care provider established in Belfast, Maine operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1023458320 assigned on July 2013. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Seaport Community Health Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Seaport Community Health Center. The authorized official of this NPI record is Lori L. Dwyer Esq. (President & Ceo)

NPI
1023458320
Provider Legal Name
PENOBSCOT COMMUNITY HEALTH CENTER
Other Organization Name
SEAPORT COMMUNITY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
29 SCHOODIC DR BELFAST, ME 04915
Location Phone
(207) 338-6900
Mailing Address
PO BOX 1599 BANGOR, ME 04402
Mailing Phone
(207) 945-5247
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-01-2013
Last Update Date
04-29-2024
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A primary care provider (PCP) like Seaport Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORI L. DWYER ESQ.

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(207) 992-9200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
20D0090474
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
JACQUELINE MOLINERO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seaport Community Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023458320
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043851634
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 8 + 5 + 1 + 6 + 3 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023458320 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871902098PENOBSCOT COMMUNITY HEALTH CENTER
Organization
Pharmacy (Community/Retail Pharmacy)29 SCHOODIC DR
BELFAST, ME 04915
(207) 338-6900
1881463529 JACQUELINE O BARAN PA
Individual
Physician Assistant29 SCHOODIC DR
BELFAST, ME 04915
(207) 338-6900
1558388363 CHRISTINE E PAYNE MD
Individual
Family Medicine29 SCHOODIC DR
BELFAST, ME 04915
(207) 338-6900
1437582061 URSULA CHARLTON LCSW
Individual
Social Worker (Clinical)29 SCHOODIC DR
BELFAST, ME 04915
(207) 338-6900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023458320, enumerated in the NPI registry as an "organization" on July 01, 2013

The provider is located at 29 Schoodic Dr Belfast, Me 04915 and the phone number is (207) 338-6900

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 20D0090474 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 01, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.