MADISON AREA HEALTH CENTER
NPI 1184698441
Clinic/Center - Federally Qualified Health Center (FQHC) in Madison, ME

NPI Status: Active since February 14, 2006

Contact Information

8 S MAIN ST
MADISON, ME
ZIP 04950
Phone: (207) 696-3992
Fax: (207) 696-5434

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 20D0090433
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-31-2027

About MADISON AREA HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Madison Area Health Center, a primary care provider established in Madison, Maine operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1184698441 assigned on February 2006. The practitioner's primary taxonomy code is 261QF0400X with license number E58728 (ME). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Madison Area Health Center. The authorized official of this NPI record is Constance R Coggins (President/ceo)

NPI
1184698441
Provider Legal Name
HEALTHREACH COMMUNITY HEALTH CENTERS
Other Organization Name
MADISON AREA HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8 S MAIN ST MADISON, ME 04950
Location Phone
(207) 696-3992
Location Fax
(207) 696-5434
Mailing Address
8 S MAIN ST PO BOX 200 MADISON, ME 04950
Mailing Phone
(207) 696-3992
Mailing Fax
(207) 696-5434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2006
Last Update Date
11-10-2014
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A primary care provider (PCP) like Madison Area 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
License No.
E58728
License State
ME

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

CONSTANCE R COGGINS

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(207) 872-5610

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MM4661MEDICARE ID-TYPE UNSPECIFIED (04) 
CA2004MEDICARE PIN (08)ME 
137970104MEDICAID (05)ME 
201805MEDICARE OSCAR/CERTIFICATION (06)ME 

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
20D0090433
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 01, 2025
Certificate Expiration Date
January 31, 2027
Laboratory Director
JOHANNA DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Madison Area 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.

Reviews for MADISON AREA HEALTH 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.
1184698441
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641291648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 9 + 1 + 6 + 4 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1184698441 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679888721 STEPHEN J DICKEY NP
Individual
Nurse Practitioner (Community Health)8 S MAIN ST
MADISON, ME 04950
(207) 696-3992
1043609902 DANNA LEE LCSW
Individual
Social Worker (Clinical)8 S MAIN ST
MADISON, ME 04950
(207) 696-3992
1386121978 KELLY BRAGG PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)8 S MAIN ST
MADISON, ME 04950
(207) 696-3992
1548669435 CATHERINE COLBY LCSW
Individual
Social Worker (Clinical)8 S MAIN ST
MADISON, ME 04950
(207) 696-3992
1508114430 MARIE C. MASON PA
Individual
Physician Assistant8 S MAIN ST
MADISON, ME 04950
(207) 696-3992
1710990775 STACEY LEA ANDERSON MD
Individual
General Practice8 S MAIN ST
MADISON, ME 04950
(207) 696-3992

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184698441, enumerated in the NPI registry as an "organization" on February 14, 2006

The provider is located at 8 S Main St Madison, Me 04950 and the phone number is (207) 696-3992

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, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 20D0090433 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 February 14, 2006. 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.