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ST. JOSEPH INFUSION CENTER
NPI 1184678088
Clinic/Center - Medical Specialty in Bangor, ME

Active since May 22, 2006CLIA 20D0694286 · Microscopy
900 BROADWAY, BANGOR, ME 04401(207) 907-3380(207) 907-3389 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Sep 18, 2019, Jul 17, 2019 and 1 more (4 updates tracked since 2019).

About St. Joseph Infusion Center NPPES

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

ST. JOSEPH INFUSION CENTER (NPI 1184678088) is a healthcare organization registered as a medical specialty in Bangor, Maine and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through January 28, 2028 and lists Michael Hendrix, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1184678088
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameST. JOSEPH AMBULATORY CARE INC
Location Address900 BROADWAYBangor, ME 04401-1900
Mailing AddressPo Box 934Bangor, ME 04402-0934
Phone(207) 907-3380
Fax(207) 907-3389
Organization SubpartNo
Authorized OfficialMichael HendrixChief Financial Officer · (207) 907-1600
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1184678088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
900 BROADWAY, Bangor, ME 04401
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Other Names 1

Doing Business AsSt. Joseph Infusion Center

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 20D0694286

St Joseph Ambulatory Care, Inc · Bangor, ME
Active · expires Jan 28, 2028
CLIA Number20D0694286
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorWilliam R. Wood Jr MD
Laboratory Phone(207) 907-3300
Laboratory LocationSt Joseph Ambulatory Care, IncPO Box 934 Attn Angela Clement, Bangor, ME 04402
CLIA data matches this NPI record on: Address 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.

HAILEY E BLACKWOOD FNPC
Nurse Practitioner
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
JOSHUA JAMES DUCHENE DO
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3777
MARILYN L MICHAUD FNP
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
ILSA ANNETTA SHULMAN MD
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
RODRIGO ROXAS MD
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3777
KERRY RIKER M. D.
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
ZACHARY MITCHELL GREENIER PA
Physician Assistant
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
MRS. ADRIENNE MIRANDA EWER FNP
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300

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 Ambulatory Care Inc's NPI number?

The NPI number for St. Joseph Ambulatory Care Inc is 1184678088. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as St. Joseph Infusion Center.

Where is St. Joseph Ambulatory Care Inc located?

St. Joseph Ambulatory Care Inc is located at 900 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3380.

What is St. Joseph Ambulatory Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does St. Joseph Ambulatory Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0694286) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Joseph Ambulatory Care Inc was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.