Blue Hill Health Collaborative LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLUE HILL HEALTH COLLABORATIVE LLC

Practice address

809 E Blue Hill Rd
Blue Hill, ME 04614-5414

Phone

(201) 207-1693

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caryl Joan Heaton, DO

Title

Medical Director

Phone

(201) 207-1693

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1730779976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "EAST BLUE HILL",
            "state": "ME",
            "postal_code": "046290042",
            "telephone_number": "201-207-1693",
            "fax_number": "207-374-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E BLUE HILL RD",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046145414",
            "telephone_number": "201-207-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL HEALTH COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "CARYL",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-207-1693",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S. Bergstrom, LCSW
• Catherine Virginia Beyer Springer, L.AC.
• Blackbird Singing LLC
• Blue Hill Consolidated School
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• Blue Hill Psychiatric Services LLC
• Blue Hill Psychological Services Inc
• Denise E Brewer
• Joshua Steven Brewer, DO
• Thomas H Bugbee, MD

• Primary Care Clinic/Center in Blue Hill, ME
• Providers in Blue Hill, ME by specialty
• Primary Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.