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: July 19, 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
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

Other Names 1

Doing Business AsSt. Joseph Infusion Center

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
20D0694286
Facility Type
Physician Office
Certificate Effective Date
January 29, 2026
Certificate Expiration Date
January 28, 2028
Laboratory Director
WILLIAM R. WOOD JR MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St. Joseph Infusion Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
900 BROADWAY, BLDG 3
BANGOR, ME 04401
Podiatrist
900 BROADWAY, BUILDING 1
BANGOR, ME 04401
Podiatrist (Primary Podiatric Medicine)
900 BROADWAY, BUILDING#1
BANGOR, ME 04401
Dietitian, Registered
900 BROADWAY, BLDG 1
BANGOR, ME 04401
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Physician Assistant
900 BROADWAY
BANGOR, ME 04401
Internal Medicine (Rheumatology)
900 BROADWAY
BANGOR, ME 04401
Internal Medicine (Rheumatology)
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Adult Health)
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner
900 BROADWAY
BANGOR, ME 04401
Dietitian, Registered
900 BROADWAY, BLDG 3
BANGOR, ME 04401
Nurse Practitioner (Occupational Health)
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Adult Health)
900 BROADWAY
BANGOR, ME 04401
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Internal Medicine
900 BROADWAY
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184678088, enumerated as an "organization" on May 22, 2006.

The provider is located at 900 BROADWAY BANGOR, ME 04401 and the phone number is (207) 907-3380.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.