Bridgton Hospital

Organization Active NPI Critical Access Hospital · Bridgton, ME

NPI 1154370153 · NPPES record last updated Sep 12, 2008

Key facts

NPI
1154370153
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
BRIDGTON HOSPITAL
Practice address
10 Hospital Dr
Bridgton, ME 04009-1148
Phone
(207) 795-5709
NPI assigned
May 8, 2006
Organization subpart
No

Authorized official

Name
Sue Morin
Title
Regional Manager Physician Practice
Phone
(207) 795-5709

Owners & managing parties with NPI records 2

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

Other NPIs with the same Medicare PAC ID 1

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

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.

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

Facilities with the same owner 8

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

Practitioners 629

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

View all 629

Affiliated clinicians 212

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

View all 212

Medicare Care Compare: Hospital

Listed as
Bridgton Hospital CCN 201310
Overall star rating
★★★☆☆ 3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in ME

Hospital certification: CCN 201310

Legal name
BRIDGTON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Apr 25, 2019
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
May 15, 1917 in ME
Enrollment address
10 Hospital Dr
Bridgton, ME 40091148
Other Hospital Practice Location

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
Central Maine Healthcare Corporation
Organization · Lewiston, ME
Corporation
Operational/Managerial Control Jan 1, 1996
David P Paulosky
Individual
Corporate Officer
Chief Financial Officer
Jun 13, 2022
W-2 Managing Employee
Chief Financial Officer
Jun 13, 2022
Sundeep Bhatia
Individual
Corporate Director Feb 16, 2026
Allen Stefanek
Individual
Corporate Officer
Ceo
Feb 16, 2026
Wesley Lew
Individual
Corporate Director Feb 16, 2026
Eric French
Individual
W-2 Managing Employee
Director Financial Planning & Reimb
Nov 15, 2021
Steven Aleman
Individual
Corporate Director Feb 16, 2026
Christopher Doan
Individual
Corporate Director
Assistant Secretary
Feb 16, 2026
Kristen R St. Peter
Individual
W-2 Managing Employee
Vice President Finance
Mar 8, 2021
Sonia C Mehta
Individual
Corporate Director Feb 16, 2026
Marney H Chalmers
Individual
Corporate Director
Board Member
Jan 1, 2021
Austin R Albert
Individual
Corporate Director
Board Member Vice Chair
Jan 8, 2018
Elizabeth Shew
Individual
Corporate Officer
VP Legal & Chief Compliance Officer
Mar 1, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040322000534 ME Part B Supplier - Clinic/Group Practice 8123919099 Receives reassigned benefits from 612 practitioners
Practice locations: Bridgton, ME; Fryeburg, ME; Naples, ME
O20040902000362 ME Part a Provider - Critical Access Hospital 8123919099 Receives reassigned benefits from 298 practitioners
Practice locations: Bridgton, ME; Naples, ME

National Provider Directory

Locations

25 Hospital Dr
Bldg B
Bridgton, ME 04009

10 Hospital Dr
Ste 100
Bridgton, ME 04009

12 High St
Ste 205
Lewiston, ME 04240
Phone (207) 795-2121

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

10 Hospital Dr
Bridgton, ME 04009-1148

Mailing address

10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 795-5709

Other providers in Bridgton, ME

All providers in Bridgton, ME · Critical Access Hospital in Maine

Sources for this page

Verify at the official NPI Registry.