ANDROSCOGGIN VALLEY HOSPITAL, INC. (NPI# 1134266679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134266679 |
| Entity Type | Organization |
| Organization Name | ANDROSCOGGIN VALLEY HOSPITAL, INC. |
| Practice Address |
59 Page Hill Rd Berlin NH 03570 |
| Mailing Address |
59 Page Hill Rd Berlin NH 03570-3542 |
| Practice Telephone | 6037522200 |
| Mailing Telephone | 6037522200 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | LUCIEN ST.ONGE (VP OF FINANCE) |
| Authorized Official Telephone | 6033265610 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDROSCOGGIN VALLEY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 00050 | NH | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80300022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659418622 | Androscoggin Valley Hospital, Inc. | Hospice Care, Community Based | 3 12th St, Berlin, NH 03570-3860 | 2007-01-31 |
| 1801359302 | Androscoggin Valley Hospital, Inc. | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-04-11 |
| 1861568743 | Androscoggin Valley Hospital, Inc. | General Acute Care Hospital | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2006-11-24 |
| 1386680593 | Androscoggin Valley Hospital, Inc. | Family Medicine | 59 Page Hill Rd, Berlin, NH 03570-3542 | 2006-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANDROSCOGGIN VALLEY HOSPITAL, INC. | 59 Page Hill Rd, Berlin, NH 03570-3531 |
| Street Address |
59 PAGE HILL RD |
| City | BERLIN |
| State | NH |
| Zip Code | 03570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595876 | Susan Lessard | Nurse Practitioner | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2005-08-10 |
| 1003438029 | Shannon Haley Frye | Audiologist | 59 Page Hill Rd, Berlin, NH 03570-3542 | 2020-05-13 |
| 1982230108 | Meredith Warren | Physical Therapist | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2020-03-19 |
| 1699325472 | Coos North Country Radiology P.l.l.c. | Radiology | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2019-09-13 |
| 1144719683 | Jonathan Michael Campbell | Audiologist | 59 Page Hill Rd, Berlin, NH 03570-3542 | 2018-05-09 |
| 1538697719 | Laurel Ashley Elkin | Emergency Medical Technician, Basic | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2017-05-31 |
| 1316398506 | Ivan Zadounaev | Family Medicine | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2016-06-28 |
| 1366836082 | Tiffani Witmon | Otolaryngology | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2015-03-19 |
| 1104229129 | Luc G Corriveau | Nurse Anesthetist, Certified Registered | 59 Page Hill Rd, Berlin, NH 03570 | 2014-10-04 |
| 1700218229 | Androscoggin Valley Hospital, Inc | Clinic/Center | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351991 | Debra Chen | Psychologist | 1 Success Loop Road, Berlin, NH 03570 | 2019-11-26 |
| 1669826780 | Tri County Community Action Program | Case Management | 30 Exchange St, Berlin, NH 03570 | 2016-04-14 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1932435286 | Kristy May Nadeau | Nutritionist | 457 Forbush Avenue, Berlin, NH 03570 | 2009-10-21 |
| 1477737195 | Gayle M Theberge | Student in an Organized Health Care Education/Training Program | 3 Twelfth Street, Berlin, NH 03570 | 2007-12-18 |
| 1003019837 | Coos County Family Health Services | Dentist | 73 Main Street, Berlin, NH 03570 | 2007-06-08 |
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1508956327 | Judy Marie E Buteau | Social Worker | 292 Pleasant Street, Berlin, NH 03570 | 2006-10-13 |
| 1538254024 | Laurel J Pulsifer | Optometrist | 820 Main Street, Berlin, NH 03570 | 2006-10-03 |
| 1760592778 | William D Foord | Ophthalmology | 60 Pleasant St, Berlin, NH 03570 | 2006-08-30 |
| Find all providers in zip 03570 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346456043 | Alice Peck Day Memorial Hospital | Medicare Defined Swing Bed Unit | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-16 |
| 1518007236 | The New London Hospital Association, Inc. | Medicare Defined Swing Bed Unit | 273 County Rd, New London, NH 03257-5736 | 2007-02-08 |
| 1922160035 | Valley Regional Hospital,inc. | Medicare Defined Swing Bed Unit | 243 Elm St, Claremont, NH 03743-2099 | 2006-12-14 |
| 1942361985 | Memorial Hospital | Medicare Defined Swing Bed Unit | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2006-12-13 |
| 1679642482 | Littleton Hospital Association | Medicare Defined Swing Bed Unit | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2006-11-07 |
| 1619053618 | Lrghealthcare | Medicare Defined Swing Bed Unit | 80 Highland St, Laconia, NH 03246-3235 | 2006-10-31 |
| 1154425601 | Weeks Medical Center | Medicare Defined Swing Bed Unit | 173 Middle St, Lancaster, NH 03584-3508 | 2006-09-12 |
| 1952415812 | Cheshire Medical Center | Medicare Defined Swing Bed Unit | 580 Court St, Keene, NH 03431-1718 | 2006-08-18 |
| 1508812660 | Monadnock Community Hospital | Medicare Defined Swing Bed Unit | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2006-05-26 |
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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.