BLUE HILL HEALTH COLLABORATIVE LLC NPI 1730779976

NPI Information

  • NPI: 1730779976
  • Provider Name: BLUE HILL HEALTH COLLABORATIVE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 20D1104364
  • Address: 809 E BLUE HILL RD
    BLUE HILL, ME
    ZIP 04614
  • Phone: (201) 207-1693

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NPI Details

BLUE HILL HEALTH COLLABORATIVE LLC is a primary care clinic center in Blue Hill, ME. BLUE HILL HEALTH COLLABORATIVE LLC NPI is 1730779976. The provider is registered as an organization entity type.

The provider's business location address is:

809 E BLUE HILL RD
BLUE HILL, ME
ZIP 04614-414
Phone: (201) 207-1693

The provider's authorized official is Caryl Joan Heaton .
The authorized official title is Medical Director and has the following contact phone number (201) 207-1693.

The CLIA number assigned to this NPI record is 20D1104364 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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