NPIMap

Organization Active NPI

Bridgton Hospital

  • Critical Access Hospital
  • Bridgton, ME
National Provider Identifier
1154370153
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
BRIDGTON HOSPITAL
Practice address
10 Hospital Dr
Bridgton, ME 04009-1148
Phone
(207) 795-5709
NPI assigned
May 8, 2006
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

10 Hospital Dr
Bridgton, ME 04009-1148

Mailing address

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

Medicare participation

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

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154370153. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 15, 1917 in ME
Enrollment address
10 Hospital Dr
Bridgton, ME 40091148
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).

  • Bridgton Hospital

    dba Bridgton Hospital Swing Bed

    • Medicare Defined Swing Bed Hospital Unit
    • Bridgton, ME
    • NPI 1477691467

    8123919099

    Same PAC ID

Care Compare: Hospital

Medicare Care Compare
Listed as
Bridgton HospitalCCN 201310 · All quality measures
Overall star rating
3 of 5
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

219 Capitol St
Ste 5
Augusta, ME 04330
Phone (207) 213-6713

10 Hospital Dr
Ste 100
Bridgton, ME 04009

25 Hospital Dr
Bldg B
Bridgton, ME 04009

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

410 Roosevelt Trl
Naples, ME 04055
Phone (207) 693-6106

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

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

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 627

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 627

Affiliated clinicians 212

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

View all 212

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1154370153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091148",
            "telephone_number": "207-795-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091148",
            "telephone_number": "207-795-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "REGIONAL MANAGER PHYSICIAN PRACTICE",
        "authorized_official_telephone_number": "207-795-5709"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.