UNIVERSITY OF SOUTHERN MAINE
NPI 1780020941
Clinic/Center - Student Health in Gorham, ME

Active since May 15, 2013CLIA 20D0677412 · Microscopy
37 COLLEGE AVE, 125 UPTON HALL, GORHAM, ME 04038(207) 780-5411(207) 780-4911 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Student Health
  • Accepts Insurance
  • CLIA Number: 20D0677412
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 01-26-2027

About UNIVERSITY OF SOUTHERN MAINE

This page provides the complete NPI Profile along with additional information for University Of Southern Maine, a primary care provider established in Gorham, Maine operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1780020941 assigned on May 2013. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as University Of Southern Maine. The authorized official of this NPI record is Ms. Lisa Garner Belanger Np (Director, Health Services, Usm)

NPI
1780020941 Verify this NPI
Provider Legal Name
UNIVERSITY OF MAINE SYSTEM
Other Organization Name
UNIVERSITY OF SOUTHERN MAINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
37 COLLEGE AVE 125 UPTON HALL GORHAM, ME 04038
Location Phone
(207) 780-5411
Location Fax
(207) 780-4911
Mailing Address
37 COLLEGE AVE 125 UPTON HALL GORHAM, ME 04038
Mailing Phone
(207) 780-5411
Mailing Fax
(207) 780-4911
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2013
Last Update Date
05-15-2013
Code Navigator

A primary care provider (PCP) like University Of Southern Maine 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 Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. LISA GARNER BELANGER NP

Authorized Official Title
DIRECTOR, HEALTH SERVICES, USM
Authorized Official Phone
(207) 780-5160

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
20D0677412
Facility Type
School/Student Health Service
Certificate Effective Date
January 27, 2025
Certificate Expiration Date
January 26, 2027
Laboratory Director
SAMAR JAMALI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to University Of Southern Maine 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.

Reviews for UNIVERSITY OF SOUTHERN MAINE

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Nurse Practitioner
37 COLLEGE AVE, 110 UPTON HALL
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Nurse Practitioner (Primary Care)
37 COLLEGE AVE, 125 UPTON HALL
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE, COSTELLO SPORTS COMPLEX
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE, COSTELLO SPORTS COMPLEX
GORHAM, ME 04038
Nurse Practitioner (Family)
37 COLLEGE AVE, UNIVERSITY HEALTH AND COUNSELING
GORHAM, ME 04038
Nurse Practitioner (Family)
37 COLLEGE AVE, 125 UPTON HALL
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Student in an Organized Health Care Education/Training Program
37 COLLEGE AVE
GORHAM, ME 04038
Student in an Organized Health Care Education/Training Program
37 COLLEGE AVE
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Specialist/Technologist (Athletic Trainer)
37 COLLEGE AVE
GORHAM, ME 04038
Student in an Organized Health Care Education/Training Program
37 COLLEGE AVE
GORHAM, ME 04038
Counselor (Professional)
37 COLLEGE AVE
GORHAM, ME 04038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780020941, enumerated as an "organization" on May 15, 2013.

The provider is located at 37 COLLEGE AVE 125 UPTON HALL GORHAM, ME 04038 and the phone number is (207) 780-5411.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.