Organization Active NPI

Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
National Provider Identifier
1205991122
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
RUMFORD HOSPITAL
Practice address
420 Franklin St
Rumford, ME 04276-2104
Phone
(207) 369-1000
NPI assigned
Dec 22, 2006
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) 369-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

420 Franklin St
Rumford, ME 04276-2104

Mailing address

420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1000

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040514000890 ME Part B Supplier - Clinic/Group Practice 3870583511 Receives reassigned benefits from 586 practitioners
Practice locations: Rumford, ME
O20061104000363 ME Part A Provider - Critical Access Hospital 3870583511 Receives reassigned benefits from 294 practitioners
Practice locations: Rumford, ME

Hospital certification: CCN 201306

Legal name
RUMFORD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Jun 12, 2018
Beds
25
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 1974 in ME
Enrollment address
420 Franklin Street
Rumford, ME 42762104

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
Rumford HospitalCCN 201306
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

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, Non-profit, Chain home office Operational/Managerial Control Jan 1, 1996
David P Paulosky Individual Corporate OfficerCfo Feb 16, 2026
W-2 Managing EmployeeCfo 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 EmployeeAd; Nov 15, 2021
Steven Aleman Individual Corporate Director Feb 16, 2026
Christopher Doan Individual Corporate OfficerAssistant 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 Director Jan 1, 2021
Austin R Albert Individual Corporate DirectorDirector Jan 1, 2018
Elizabeth Shew Individual Corporate DirectorSr Associate General Counsel Mar 1, 2021
W-2 Managing EmployeeSr Associate General Counsel Nov 2, 2020

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Swift River Family MedicineRumford, ME, CCN 203989 Rural health clinic Operational/Managerial Control Dec 21, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 603

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

View all 603

Affiliated clinicians 177

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

View all 177

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1205991122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-369-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-369-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUMFORD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "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": "207-369-1000"
    },
    "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 Rumford, ME

Sources for this page

Verify at the official NPI Registry.