EASTERN MAINE MEDICAL CENTER
NPI 1780674580
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bangor, ME
NPI Status: Active since October 24, 2005
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 20D0089453
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-25-2027
About EASTERN MAINE MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Eastern Maine Medical Center, a provider established in Bangor, Maine operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1780674580 assigned on October 2005. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Marc Edelman (Sr. Vp Of Operations)
- NPI
- 1780674580
- Provider Name
- EASTERN MAINE MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 489 STATE ST BANGOR, ME 04401
- Location Phone
- (207) 973-7000
- Mailing Address
- 43 WHITING HILL RD FLOOR 5 BREWER, ME 04412
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2005
- Last Update Date
- 07-30-2019
- Code Navigator
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 End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- 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) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital | 35999 (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.
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 |
|---|---|---|---|
| 101780000 | MEDICAID (05) | 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
- 20D0089453
- Facility Type
- Hospital
- Certificate Effective Date
- March 26, 2025
- Certificate Expiration Date
- March 25, 2027
- Laboratory Director
- DR. MAYUR K. MOVALIA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Eastern Maine Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for EASTERN MAINE MEDICAL 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. | |||||||||
| 1 | 7 | 8 | 0 | 6 | 7 | 4 | 5 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 12 | 7 | 8 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 2 + 7 + 8 + 5 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1780674580 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275539397 | DR. JAMIE L/ CRONIN PHARMD Individual | Pharmacist (Pharmacotherapy) | 489 STATE ST BANGOR, ME 04401 (207) 973-8756 |
| 1841282951 | GALE C TINKER PA Individual | Physician Assistant | 489 STATE ST VASCULAR CARE OF MAINE BANGOR, ME 04401 (207) 973-6670 |
| 1477546380 | DR. MARYBETH BOUDREAU PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 489 STATE ST BANGOR, ME 04401 (207) 973-8927 |
| 1861469934 | DR. JOHN K MERCHANT PHARMD Individual | Pharmacist | 489 STATE ST EASTERN MAINE MEDICAL CENTER BANGOR, ME 04401 (207) 972-8286 |
| 1073566329 | CRAIG J PEDERSEN PA-C Individual | Physician Assistant (Medical) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1598702904 | KAREN L VOLCKHAUSEN FNP Individual | Nurse Practitioner (Family) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1013957141 | DR. JAMES W BERRY M.D. Individual | Family Medicine | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1487694147 | DR. CHARLES A STALEY MD Individual | Hospitalist | 489 STATE ST EMIC KELLEY 6 BANGOR, ME 04401 (207) 973-7000 |
| 1891736567 | HEATHER E GARROLD CNM Individual | Advanced Practice Midwife | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1588605208 | ARDELLE PATRICIA HOLLROCK FNP Individual | Nurse Practitioner | 489 STATE ST VASCULAR CARE OF MAINE BANGOR, ME 04401 (207) 973-6670 |
| 1013958735 | JENNIFER LYNN MCKEON CRNP Individual | Nurse Practitioner | 489 STATE ST VASCULAR CARE OF MAINE BANGOR, ME 04401 (207) 973-6670 |
| 1164465696 | JAMES THOMAS PH.D. Individual | Clinical Neuropsychologist | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1952344590 | CANDICE KNUPP N.P. Individual | Nurse Practitioner | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1992740344 | HENRY HOLLIS CAFFEE MD Individual | Surgery (Plastic and Reconstructive Surgery) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1083640163 | DR. AMY J MOVIUS MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1972539617 | MICHELLE FERLAND PA Individual | Physician Assistant | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1710913124 | BRAD SCHMELING PA Individual | Physician Assistant | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1497782767 | DR. JUDITH B ALLEN M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 489 STATE ST BANGOR, ME 04401 (207) 973-7556 |
| 1720017726 | SANDRA G SERPELL CRNA Individual | Nurse Anesthetist, Certified Registered | 489 STATE ST EMMC BANGOR, ME 04401 (207) 973-4133 |
| 1124059449 | MICHELLE A RUTHERFORD ANP Individual | Internal Medicine (Hematology & Oncology) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780674580, enumerated in the NPI registry as an "organization" on October 24, 2005
The provider is located at 489 State St Bangor, Me 04401 and the phone number is (207) 973-7000
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
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 20D0089453 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 24, 2005. 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.