MAINE HEMOPHILIA AND THROMBOSIS CENTER
NPI 1053647024
General Acute Care Hospital in Scarborough, ME

NPI Status: Active since October 27, 2009

Contact Information

100 CAMPUS DR
UNIT 103
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-7683

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 20D2166064
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-09-2027

About MAINE HEMOPHILIA AND THROMBOSIS CENTER

This page provides the complete NPI Profile along with additional information for Maine Hemophilia And Thrombosis Center, a provider established in Scarborough, Maine operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1053647024 assigned on October 2009. The practitioner's primary taxonomy code is 282N00000X with license number 37563 (ME). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Maine Hemophilia And Thrombosis Center. The authorized official of this NPI record is Lugene Anthony Inzana (Associate Cfo)

NPI
1053647024
Provider Legal Name
MAINEHEALTH
Other Organization Name
MAINE HEMOPHILIA AND THROMBOSIS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 CAMPUS DR UNIT 103 SCARBOROUGH, ME 04074
Location Phone
(207) 885-7683
Mailing Address
22 BRAMHALL ST FINANCE DEPARTMENT MGB 1ST FLOOR PORTLAND, ME 04102
Mailing Phone
(207) 662-3998
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2009
Last Update Date
05-11-2020
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
37563
License State
ME
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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)
1282N00000XHospitals

General Acute Care Hospital

37025 (ME)

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

LUGENE ANTHONY INZANA

Authorized Official Title
ASSOCIATE CFO
Authorized Official Phone
(207) 662-3538

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
20D2166064
Facility Type
Physician Office
Certificate Effective Date
May 10, 2025
Certificate Expiration Date
May 09, 2027
Laboratory Director
STEPHEN RAWLINGS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maine Hemophilia And Thrombosis 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.

Reviews for MAINE HEMOPHILIA AND THROMBOSIS CENTER

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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.
1053647024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201031241404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 4 + 1 + 4 + 0 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1053647024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245200153 DANIEL M HAYES MD
Individual
Internal Medicine (Medical Oncology)100 CAMPUS DR SUITE 108
SCARBOROUGH, ME 04074
(207) 885-7600
1568433472 DELVYN C CASE JR. MD
Individual
Internal Medicine (Hematology & Oncology)100 CAMPUS DR SUITE 108
SCARBOROUGH, ME 04074
(207) 885-7600
1316995624MAINE MOLECULAR IMAGING LLC
Organization
Physiological Laboratory100 CAMPUS DR
SCARBOROUGH, ME 04074
(800) 734-4132
1275753089MRS. HEATHER DG SYLVESTER M.S.
Individual
Genetic Counselor, MS100 CAMPUS DR
SCARBOROUGH, ME 04074
(207) 885-7591
1790907848 KAREN E RASMUSSEN PH.D.
Individual
Medical Genetics, Ph.D. Medical Genetics100 CAMPUS DR SUITE 108
SCARBOROUGH, ME 04074
(207) 885-7600
1316130511 KAREN AMANDA DEGRANDPRE LMSW-CC
Individual
Social Worker100 CAMPUS DR UNIT 107
SCARBOROUGH, ME 04074
(207) 885-7565
1962668863 JESSICA H CARY MS, RN, CGC
Individual
Genetic Counselor, MS100 CAMPUS DR UNIT 108
SCARBOROUGH, ME 04074
(207) 396-8772
1528006772 CHELSY GILROY
Individual
Social Worker (Clinical)100 CAMPUS DR UNIT 107
SCARBOROUGH, ME 04074
(207) 885-7565
1659588515MS. CARRIE MCCHESNEY MAYNARD LCSW
Individual
Social Worker (Clinical)100 CAMPUS DR SUITE 101
SCARBOROUGH, ME 04074
(207) 396-7294
1194759506DR. ANNE R ROSSI M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)100 CAMPUS DR UNIT 107
SCARBOROUGH, ME 04074
(207) 885-7565
1851781710 KATHERINE ANNE LAFFERTY MS, CGC
Individual
Genetic Counselor, MS100 CAMPUS DR SUITE 121
SCARBOROUGH, ME 04074
(207) 396-7787
1083162481 KATHLENE GRAVELIN
Individual
Genetic Counselor, MS100 CAMPUS DR SUITE 121
SCARBOROUGH, ME 04074
(207) 396-7788
1689678112DR. GARY M HOCHHEISER MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)100 CAMPUS DR SUITE 121
SCARBOROUGH, ME 04074
(207) 396-7700
1871549451DR. STANLEY CHALEFF MD
Individual
Pediatrics (Pediatric Hematology-Oncology)100 CAMPUS DR UNIT 107
SCARBOROUGH, ME 04074
(207) 885-7565
1548299548 ERIC C LARSEN M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)100 CAMPUS DR UNIT 107
SCARBOROUGH, ME 04074
(207) 885-7565
1417977067 SCOT C REMICK MD
Individual
Internal Medicine (Medical Oncology)100 CAMPUS DR SUITE 121
SCARBOROUGH, ME 04074
(207) 396-7760
1720525447 THERESA ROELKE NP
Individual
Nurse Practitioner100 CAMPUS DR SUITE 121
SCARBOROUGH, ME 04074
(207) 396-7760
1023030293 MARY COLE-ALMGREN PA-C
Individual
Physician Assistant100 CAMPUS DR SUITE 108
SCARBOROUGH, ME 04074
(207) 396-7600
1588801773 KAREN ANNE PHELPS NP
Individual
Nurse Practitioner (Adult Health)100 CAMPUS DR SUITE 121
SCARBOROUGH, ME 04074
(207) 396-7786
1265402176 HANS G BOWDER ANP-C
Individual
Nurse Practitioner (Adult Health)100 CAMPUS DR SUITE 125
SCARBOROUGH, ME 04074
(207) 883-0069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053647024, enumerated in the NPI registry as an "organization" on October 27, 2009

The provider is located at 100 Campus Dr Unit 103 Scarborough, Me 04074 and the phone number is (207) 885-7683

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider's CLIA number is 20D2166064 for a "physician office" 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 October 27, 2009. 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].
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