| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1821442039 | | | | COMMUNITY CLINICAL SERVICES, INC. | PO BOX 95000 LBX 7660 | PHILADELPHIA | PA | 191950001 |
| 1730285982 | BOUCHER | LISA | JEAN | | PO BOX 95000 LBX 7650 | PHILADELPHIA | PA | 191950001 |
| 1184662587 | DECOTIIS | DAWN | ENNIS | | PO BOX 1638 | ALBANY | NY | 122011638 |
| 1417147331 | DUDLEY | AMY | L.R. | | PO BOX 7291 | LEWISTON | ME | 042437291 |
| 1730520081 | HAMILTON-ELLIS | ASHLEY | S | | PO BOX 1638 | ALBANY | NY | 122011638 |
| 1205863156 | JOHANNESSON | INGA | S | | 301C US ROUTE 1 | SCARBOROUGH | ME | 040749701 |
| 1144539107 | JOHNSON | KELLY | A | | PO BOX 7291 | LEWISTON | ME | 042437291 |
| 1780799437 | LARSON | HEIDI | M | | 161 CORPORATE DR | PORTSMOUTH | NH | 038016825 |
| 1396710927 | MARGOLSKEE | HOWARD | R | | PO BOX 4140 | BOSTON | MA | 022414140 |
| 1013296722 | MARQUIS | DALLAS | R | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1487181046 | OZON | JAMES | R. | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1245388891 | RICHARDS | SCOTT | DENNIS | | 601 RADIO HILL ROAD | MARION | VA | 24354 |
| 1962023630 | ROUSSEAU | AMY | E | | PO BOX 7291 | LEWISTON | ME | 042437291 |
| 1811208887 | SMITH | GARRETT | F. | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |
| 1629074240 | TAN | EDWIN | V | | PO BOX 7291 | LEWISTON | ME | 042437291 |
| 1902336340 | TROFIMOVITCH | DIANA | | | PO BOX 7291 | LEWISTON | ME | 042437291 |
| 1205802212 | WOYTOWICZ | JOHN | M | | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT | LEWISTON | ME | 042437291 |