MAINE MOBILE HEALTH PROGRAM, INC.
NPI 1376829598
Clinic/Center - Federally Qualified Health Center (FQHC) in Augusta, ME
About Maine Mobile Health Program, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAINE MOBILE HEALTH PROGRAM, INC. (NPI 1376829598) is a healthcare organization registered as a federally qualified health center (fqhc) in Augusta, Maine and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Amelia Rukema, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 of Waiver 20D1050279
Maine Mobile Health Program · Augusta, MEFrequently 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 Maine Mobile Health Program, Inc.'s NPI number?
The NPI number for Maine Mobile Health Program, Inc. is 1376829598. It was assigned to this organization in the NPPES registry on November 2, 2011.
Where is Maine Mobile Health Program, Inc. located?
Maine Mobile Health Program, Inc. is located at 79 Leighton Rd, Augusta, ME 04330. The listed phone number is (207) 622-9252.
What is Maine Mobile Health Program, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Maine Mobile Health Program, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D1050279) is associated with this NPI, valid through January 29, 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 Maine Mobile Health Program, Inc. was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.