Bridgton Health Care Center Inc

Organization Active NPI Skilled Nursing Facility · Bridgton, ME

NPI 1982605622 · NPPES record last updated Jul 15, 2014

Key facts

NPI
1982605622
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
1857 (ME)
Legal business name
BRIDGTON HEALTH CARE CENTER INC
Practice address
186 Portland Rd
Bridgton, ME 04009-4224
Phone
(207) 786-0111
Fax
(207) 783-5016
NPI assigned
Aug 3, 2005
Organization subpart
No

Authorized official

Name
Mr. David R Hicks
Title
Owner
Phone
(207) 786-0111

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1857 ME Yes

Addresses

Primary practice location

186 Portland Rd
Bridgton, ME 04009-4224

Mailing address

197 Summer St
Auburn, ME 04210-5125
Phone (207) 786-0111

Other identifiers

IdentifierTypeStateIssuer
114940000MedicaidME

Other providers in Bridgton, ME

All providers in Bridgton, ME · Skilled Nursing Facility in Maine

Sources for this page

Verify at the official NPI Registry.