The Bell Hill Meetinghouse is located at the top of Bell Hill in Otisfield, Maine, on the east side of Bell Hill Road. It is a single story rectangular wood-frame structure, with a projecting center bay on the main (west-facing) facade, and a square bell tower that rises from the central ridge near the western end of the gable roof. The projecting bay has two entry doors, each topped by a louvered fan, with small square sash windows above each, also topped by louvered fans.