NPIMap

Organization Active NPI

Waldo County General Hospital

  • General Acute Care Hospital
  • Belfast, ME
National Provider Identifier
1295990935
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WALDO COUNTY GENERAL HOSPITAL
Practice address
118 Northport Ave
Belfast, ME 04915-6009
Phone
(207) 338-2500
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WALDO COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mr. Gordon L Tibbetts
Title
Cfo
Phone
(207) 338-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ME Primary

Addresses

Primary practice location

118 Northport Ave
Belfast, ME 04915-6009

Mailing address

PO Box 287
Belfast, ME 04915-0287
Phone (207) 338-2500

Other names 1

  • Waldo County General Hospital Renal Dialysis Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295990935. Details of each certification follow.

Hospital certification: CCN 200013

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WALDO COUNTY GENERAL HOSPITAL
Certification status
Terminated Other: provider status change, Jul 31, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 26, 2004
Beds
45
Ownership / control type
Private (not for profit)
Facility address
118 Northport Avenue
Belfast, ME 04915

National Provider Directory

National Provider Directory
Part of
Arthur Jewell Comm HLTH

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1295990935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150287",
            "telephone_number": "207-338-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156009",
            "telephone_number": "207-338-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDO COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALDO COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-338-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldo County General Hospital Renal Dialysis Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.