ISLANDS COMMUNITY MEDICAL CENTER
NPI 1265460794
Clinic/Center - Federally Qualified Health Center (FQHC) in Vinalhaven, ME

Active since June 30, 2006CLIA 20D0090158 · Microscopy
15 MEDICAL CENTER LOOP, VINALHAVEN, ME 04863(207) 863-4341(207) 863-9358 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2024, Aug 3, 2021, Jan 18, 2019 and 1 more (4 updates tracked since 2016).

About Islands Community Medical Center NPPES

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

ISLANDS COMMUNITY MEDICAL CENTER (NPI 1265460794) is a healthcare organization registered as a federally qualified health center (fqhc) in Vinalhaven, Maine and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through October 4, 2028 and lists Dinah B Moyer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265460794
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameISLANDS COMMUNITY MEDICAL SERVICES INC
Location Address15 MEDICAL CENTER LOOPVinalhaven, ME 04863
Mailing Address15 Medical Center LoopVinalhaven, ME 04863 · (207) 863-4341 · Fax (207) 863-9358
Fax(207) 863-9358
Organization SubpartNo
Authorized OfficialDinah B MoyerExecutive Director · (207) 863-9071
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1265460794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
15 MEDICAL CENTER LOOP, Vinalhaven, ME 04863

Other Names 1

Doing Business AsIslands Community Medical Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Islands Community Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Islands Community Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1821720392
15 MEDICAL CENTER LOOP
Vinalhaven, ME 04863
(207) 863-4341
Same address
Nurse Practitioner
NPI 1851480305
15 MEDICAL CENTER LOOP
Vinalhaven, ME 04863
(207) 863-4341
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1427346675
97 MCLAIN RD
Liberty, ME 04949
(207) 462-2264
✔ PECOS✔ Accepts Medicare32 mi
Dentist
NPI 1770915563
1048 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS53 mi
Nurse Practitioner
NPI 1528619509
30434 MOUNT VERNON RD
Princess Anne, MD 21853
(410) 651-0350
✔ PECOS✔ Accepts Medicare538 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 20D0090158

Islands Community Medical Services Inc · Vinalhaven, ME
Active · expires Oct 4, 2028
CLIA Number20D0090158
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 5, 2026
Certificate Expiration DateOctober 4, 2028
Laboratory DirectorJennifer Desmond Fnp
Laboratory Phone(207) 863-4341
Laboratory LocationIslands Community Medical Services Inc15 Medical Center Loop Attn Sarah Mcdonald, Vinalhaven, ME 04863
CLIA data matches this NPI record on: Address Name Phone
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.

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 Islands Community Medical Services Inc's NPI number?

The NPI number for Islands Community Medical Services Inc is 1265460794. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Islands Community Medical Center.

Where is Islands Community Medical Services Inc located?

Islands Community Medical Services Inc is located at 15 Medical Center Loop, Vinalhaven, ME 04863. The listed phone number is (207) 863-4341.

What is Islands Community Medical Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Islands Community Medical Services Inc enrolled in Medicare?

Yes. Islands Community Medical Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Islands Community Medical Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Islands Community Medical Services Inc, in Clinical Social Worker, Dentist, Nurse Practitioner and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Islands Community Medical Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0090158) is associated with this NPI, valid through October 4, 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 Islands Community Medical Services Inc was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.