Healthcare Provider Details

I. General information

NPI: 1053601864
Provider Name (Legal Business Name): MAINEHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PIKES HL
NORWAY ME
04268-5340
US

IV. Provider business mailing address

181 MAIN ST
NORWAY ME
04268-5664
US

V. Phone/Fax

Practice location:
  • Phone: 207-743-9292
  • Fax: 207-743-1578
Mailing address:
  • Phone: 207-743-5933
  • Fax: 207-743-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number37353
License Number StateME

VIII. Authorized Official

Name: ROBERT HUNTER
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 207-662-2272