NPIMap

Organization Active NPI

The Blue Hill Memorial Hospital

Doing business as Northern Light Blue Hill Hospital

  • Critical Access Hospital
  • Blue Hill, ME
National Provider Identifier
1023057809
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
THE BLUE HILL MEMORIAL HOSPITAL
Doing business as
Northern Light Blue Hill Hospital
Practice address
57 Water Street
Blue Hill, ME 04614
Phone
(207) 374-3400
Fax
(207) 374-3989
NPI assigned
Jun 6, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Wendy Merchant
Title
VP, Finance
Phone
(207) 610-2429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

57 Water Street
Blue Hill, ME 04614

Mailing address

57 Water Street
Blue Hill, ME 04614
Phone (207) 374-3400

Other names 1

  • Northern Light Blue Hill Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000596 ME Part A Provider - Critical Access Hospital 7911991336 Receives reassigned benefits from 122 practitioners
Practice locations: Blue Hill, ME
O20080312000055 ME Part B Supplier - Clinic/Group Practice 7911991336 Receives reassigned benefits from 148 practitioners
Practice locations: Blue Hill, ME; Stonington, ME; Bucksport, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023057809. Details of each certification follow.

Hospital certification: CCN 201300

Legal name
THE BLUE HILL MEMORIAL HOSPITAL
Doing business as
NORTHERN LIGHT BLUE HILL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 23, 1998
Last certification
Jul 17, 2019
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 8, 1924 in ME
Enrollment address
57 Water St
Blue Hill, ME 46145231
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Northern Light Blue Hill Memorial HospitalCCN 201300 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

57 Water St
Ste A
Blue Hill, ME 04614

57 Water St
Ste C
Blue Hill, ME 04614

59 Water St
Blue Hill, ME 04614
Phone (207) 374-3930

354 Airport Rd
Stonington, ME 04681
Phone (207) 367-2311

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Wendy J Merchant Individual Corporate Officer Oct 14, 2013
Operational/Managerial ControlVice President of Finance Oct 14, 2013

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 198

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 198

Affiliated clinicians 148

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

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1023057809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WATER STREET",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "04614",
            "telephone_number": "207-374-3400",
            "fax_number": "207-374-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WATER STREET",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "04614",
            "telephone_number": "207-374-3400",
            "fax_number": "207-374-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUE HILL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "207-610-2429"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Light Blue Hill Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Hill, ME

Sources for this page

Verify at the official NPI Registry.