The Blue Hill Memorial Hospital
Organization Active NPI Critical Access Hospital · Blue Hill, ME
NPI 1023057809 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1023057809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- THE BLUE HILL MEMORIAL HOSPITAL
- Practice address
- 57 Water Street
Blue Hill, ME 04614 - Phone
- (207) 374-3400
- Fax
- (207) 374-3989
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Wendy Merchant
- Title
- VP, Finance
- Phone
- (207) 610-2429
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 1
Related certifications (CCN) 1
Practitioners 211
-
Clare Marie Abercrombie, DNP- APRN
-
Timothy A. Cobb, DO
-
Alan Jansujwicz, M.D.
-
Harsh A. Mehta, MBBS
-
Michael G Murnik, MD
-
Zachary Trzaska, MD
-
Marianne F. Vandiver, PA-C
-
Denise Antonition, LCSW
-
Marcia Carolyn Bean, PMHNP-BC
-
Kati Lyn Boucher, PMHNP-BC
-
Ja'Nette Lee Marie Bowden, FNP-C
-
Robin K. Caron, DO, MPH
-
Leeann Marie Chatto, CNM
-
Chae C Choi, MD
-
Billie Jo Cole, PMHNP
Affiliated clinicians 148
-
Clare Marie Abercrombie, DNP- APRN
-
David T. Ahola, M.D.
-
Erdem Altunel, MD
-
Ellen A Arey, RN
-
David Charles Barry, M.D.
-
Jennifer M Beal, MSN
-
Elizabeth Beil, M.D.
-
Lisa Marie Boma, NP
-
Ryan Bou Said, MD
-
Philip L. Brooks, MD
-
Thomas H Bugbee, MD
-
Jacqueline L Carter, FNP
-
Yeang Howe CHNG, M.D., PH.D.
-
Timothy A. Cobb, DO
-
Peter Copithorne, MD
-
Timothy Coury, MD
-
Corey A. Couto, M.D.
-
Charles A Crans Jr., M.D.
-
Thomas W Cubberley, M.D.
Medicare Care Compare: Hospital
- Listed as
- Northern Light Blue Hill Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
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
- Corporation · Non-profit
- Incorporated
- Oct 8, 1924 in ME
- Enrollment address
- 57 Water St
Blue Hill, ME 46145231
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Wendy J Merchant |
Corporate Officer | Oct 14, 2013 | |
| Operational/Managerial Control |
Oct 14, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
931 Union St
Fl 3
Bangor, ME 04401
57 Water St
Ste C
Blue Hill, ME 04614
57 Water St
Ste A
Blue Hill, ME 04614
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39205 | Other | ME | LICENSE |
Other names
- Northern Light Blue Hill Hospital
Other providers in Blue Hill, ME
- Christopher Joseph Silva
- Arthur Smith
- Christopher G. Smith
- John C Southall
- Zoe Robbins Tenney
- The Blue Hill Memorial Hospital
- Lorinda L Toscas
- Tracy L Smith, DDS
- Amy E Tunney
- John Tyler
All providers in Blue Hill, ME · Critical Access Hospital in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.