NPIMap

Organization Active NPI

Sebasticook Valley Health

  • Medicare Defined Swing Bed Hospital Unit
  • Pittsfield, ME
National Provider Identifier
1013176544
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
36461 Issued in ME
Legal business name
SEBASTICOOK VALLEY HEALTH
Practice address
447 N Main St
Pittsfield, ME 04967-3707
Phone
(207) 848-5846
Fax
(207) 487-4585
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randall Clark
Title
VP of Finance
Phone
(207) 487-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 36461 ME Primary

Addresses

Primary practice location

447 N Main St
Pittsfield, ME 04967-3707

Mailing address

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716003418 ME Part A Provider - Critical Access Hospital 3476462797 Practice locations: Pittsfield, ME

Hospital certification: CCN 20Z313

Legal name
SEBASTICOOK VALLEY HEALTH
Doing business as
NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1963 in ME
Enrollment address
447 N Main St
Pittsfield, ME 49673707

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stacey Fitts Individual Corporate DirectorBoard Member Oct 1, 2018
Emily B Cianchette Individual Corporate DirectorBoard Member Oct 1, 2023
Alicia Nichols Individual Corporate DirectorBoard Member Oct 1, 2018
Jon Christensen Individual Corporate DirectorBoard Member Apr 25, 2022
Jeremy West Individual Corporate DirectorBoard Member Apr 27, 2020
Timothy J Dentry Individual Corporate OfficerPresident and Ceo of Emhs Apr 1, 2020
Operational/Managerial ControlPresident and Ceo of Emhs Apr 1, 2020
Kady Huff Individual Corporate DirectorBoard Member Jun 26, 2023
Brett Danforth Individual Corporate OfficerBoard Member Nov 27, 2023
Eastern Maine Healthcare Services Organization, Brewer, ME Non-profit Operational/Managerial Control Mar 23, 2015 100%
Linda Woolley Individual Corporate DirectorBoard Member Oct 1, 2018
Charles Cianchette Individual Corporate DirectorBoard Member Oct 1, 2018
Robin Chase Individual Corporate DirectorBoard Member Apr 22, 2019
Randall L. Clark Individual Corporate OfficerPresident Apr 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1013176544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N MAIN ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049673707",
            "telephone_number": "207-487-5141",
            "fax_number": "207-487-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N MAIN ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049673707",
            "telephone_number": "207-848-5846",
            "fax_number": "207-487-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTICOOK VALLEY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "207-487-5141"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ME",
            "license": "36461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, ME

Sources for this page

Verify at the official NPI Registry.