MAINE MOBILE HEALTH PROGRAM, INC.
NPI 1376829598
Clinic/Center - Federally Qualified Health Center (FQHC) in Augusta, ME

NPI Status: Active since November 02, 2011

Contact Information

79 LEIGHTON RD
AUGUSTA, ME
ZIP 04330
Phone: (207) 622-9252
Fax: (207) 626-7612

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 20D1050279
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-29-2028

About MAINE MOBILE HEALTH PROGRAM, INC.

This page provides the complete NPI Profile along with additional information for Maine Mobile Health Program, Inc., a primary care provider established in Augusta, Maine operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1376829598 assigned on November 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Amelia Rukema (Chief Executive Officer)

NPI
1376829598
Provider Name
MAINE MOBILE HEALTH PROGRAM, INC.
Entity Type
Organization
Location Address
79 LEIGHTON RD AUGUSTA, ME 04330
Location Phone
(207) 622-9252
Location Fax
(207) 626-7612
Mailing Address
PO BOX 405 AUGUSTA, ME 04332
Mailing Phone
(207) 622-9252
Mailing Fax
(207) 626-7612
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2011
Last Update Date
10-02-2025
Code Navigator

A primary care provider (PCP) like Maine Mobile Health Program, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMELIA RUKEMA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(207) 557-0870

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
20D1050279
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 30, 2026
Certificate Expiration Date
January 29, 2028
Laboratory Director
CHERYL K. SEYMOUR MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maine Mobile Health Program, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376829598, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 6 + 2 + 1 + 8 + 5 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1376829598.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376829598, enumerated as an "organization" on November 02, 2011.

The provider is located at 79 LEIGHTON RD AUGUSTA, ME 04330 and the phone number is (207) 622-9252.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).