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ST. JOSEPH HOSPITAL
NPI 1154321545
General Acute Care Hospital in Bangor, ME

Active since July 28, 2005CLIA Certified · 2 labs
360 BROADWAY, BANGOR, ME 04401(207) 907-1000 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Nov 14, 2022, Aug 9, 2021 and 1 more (4 updates tracked since 2019).

About St. Joseph Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOSEPH HOSPITAL (NPI 1154321545) is a healthcare organization registered as a general acute care hospital in Bangor, Maine and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists Michael A Hendrix, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154321545
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST. JOSEPH HOSPITAL
Location Address360 BROADWAYBangor, ME 04401-3979
Mailing AddressPo Box 95000 Lbx 7620Philadelphia, PA 19195-0001 · (207) 777-8202 · Fax (207) 783-6660
Phone(207) 907-1000
Organization SubpartNo
Authorized OfficialMichael A HendrixCfo · (207) 907-1600
Enumeration DateJuly 28, 2005
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1154321545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in ME · 38869
Definition
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.
360 BROADWAY, Bangor, ME 04401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 20D0089509

St Joseph Hospital Laboratory · Bangor, ME
Active · expires Feb 27, 2027
CLIA Number20D0089509
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Orin W. Buetens
Laboratory Phone(207) 907-1650
Laboratory LocationSt Joseph Hospital Laboratory360 Broadway Ste 304, Bangor, ME 04401
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D2096705

St Joseph Hospital Laboratory · Bangor, ME
Active · expires May 28, 2027
CLIA Number20D2096705
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorDavid J. Koffman
Laboratory Phone(207) 907-1650
Laboratory LocationSt Joseph Hospital Laboratory900 Broadway Ste 304, Bangor, ME 04401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155
DR. AMINA S QAZI DO, PHARMD
Internal Medicine (Cardiovascular Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Joseph Hospital's NPI number?

The NPI number for St. Joseph Hospital is 1154321545. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is St. Joseph Hospital located?

St. Joseph Hospital is located at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-1000.

What is St. Joseph Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does St. Joseph Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St. Joseph Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield list St. Joseph Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Joseph Hospital was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.