BLUE HILL MEMORIAL HOSPITAL (NPI# 1023272853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023272853 |
| Entity Type | Organization |
| Organization Name | BLUE HILL MEMORIAL HOSPITAL |
| Other Organization Name | NORTHERN LIGHT BLUE HILL HOSPITAL |
| Practice Address |
57 Water Street Blue Hill ME 04614 |
| Practice Telephone | 2073743473 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MS. WENDY JONES (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2073743409 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE HILL MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSE | 38850 | 01 |
| Other Name | Type Code |
|---|---|
| Northern Light Blue Hill Hospital | Doing Business As Name - Organization |
| Swing Bed Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023057809 | Blue Hill Memorial Hospital | General Acute Care Hospital | 57 Water Street, Blue Hill, ME 04614 | 2006-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLUE HILL MEMORIAL HOSPITAL | 57 Water St, Blue Hill, ME 04614-5231 |
| Street Address |
57 WATER STREET |
| City | BLUE HILL |
| State | ME |
| Zip Code | 04614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732097 | Ronald H Prokopius | Hospitalist | 57 Water Street, Blue Hill, ME 04614 | 2005-07-07 |
| 1477795292 | Patricia S. Bergstrom | Social Worker | 57 Water Street, Blue Hill, ME 04614 | 2009-03-25 |
| 1316128440 | Martha Cole | Dietitian, Registered | 57 Water Street, Blue Hill, ME 04614 | 2007-11-16 |
| 1124145875 | Stephanie Pettegrow Dow | Physical Therapist | 57 Water Street, Blue Hill Memorial Hospital, Blue Hill, ME 04614 | 2007-03-26 |
| 1043306699 | Tamas Robert Peredy | Emergency Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-10-04 |
| 1366541906 | John C Southall | Emergency Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-09-21 |
| 1255440491 | Kathleen J Ober | Obstetrics & Gynecology | 57 Water Street, Blue Hill, ME 04614 | 2006-08-30 |
| 1457469447 | Barrett Grimnes | Physician Assistant | 57 Water Street, Blue Hill, ME 04614 | 2006-08-29 |
| 1902919335 | Jerri Jensen | Family Medicine | 57 Water Street, Blue Hill, ME 04614 | 2006-08-17 |
| 1679504195 | Richard A. Wiemer | Physician Assistant | 57 Water Street, Blue Hill, ME 04614 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548666811 | Cas Services, Inc | In Home Supportive Care | 442 Pleasant Street, Blue Hill, ME 04614 | 2014-11-13 |
| 1295027795 | Pborchard, LLC | Social Worker | 200 Woods Point Road, Blue Hill, ME 04614 | 2011-05-03 |
| 1992002554 | Lorinda L Toscas | Acupuncturist | 154 Ellsworth Road, Blue Hill, ME 04614 | 2011-02-17 |
| 1417180944 | Joanne Rauscher | Physical Therapist | 82 Water St., Blue Hill, ME 04614 | 2009-09-01 |
| 1043444102 | Washington Hancock Community Agency | Community/Behavioral Health | 118 Ellsworth Road, Blue Hill, ME 04614 | 2009-05-05 |
| 1669614541 | Sarah Jean De Preter | Chiropractor | 20 E. Blue Hill Road, Blue Hill, ME 04614 | 2009-03-24 |
| 1164669263 | Wellness Chiropractic P.c | Chiropractor | 20 East Blue Hill Rd., Blue Hill, ME 04614 | 2009-01-12 |
| 1538381892 | School Union 93 | Local Education Agency (LEA) | 20 Hinkley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1962624221 | School Union 93 | Local Education Agency (LEA) | 20 Hinckley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1891916821 | Walter Ross Greenlaw Jr. | Dentist | 120 South Street, Blue Hill Peninsula Dental, Blue Hill, ME 04614 | 2007-05-01 |
| Find all providers in zip 04614 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023057809 | Blue Hill Memorial Hospital | General Acute Care Hospital | 57 Water Street, Blue Hill, ME 04614 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
| 1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
| 1558319103 | Mrh Corp. | General Acute Care Hospital | 897 W Main St, Dover Foxcroft, ME 04426-1029 | 2006-05-05 |
| 1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
| 1922001049 | Calais Regional Hospital | General Acute Care Hospital | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-23 |
| 1629558432 | Mainehealth | General Acute Care Hospital | 35 Miles St, Damariscotta, ME 04543-4047 | 2018-08-21 |
| 1386090538 | Kimberly Felicetti | General Acute Care Hospital | 118 Northport Ave, Belfast, ME 04915-6009 | 2016-05-06 |
| 1811288061 | Mainehealth | General Acute Care Hospital | 193 Main St, Suite 9, Norway, ME 04268-5645 | 2011-04-22 |
| 1528359841 | Stephens Memorial Hospital Association | General Acute Care Hospital | 34 Winter St, Norway, ME 04268-5620 | 2011-04-20 |
| 1346480241 | Sebasticook Valley Hospital Associates | General Acute Care Hospital | 447 N Main St, Pittsfield, ME 04967-3707 | 2009-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.