ANDROSCOGGIN VALLEY HOSPITAL, INC. (NPI# 1386680593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386680593 |
| Entity Type | Organization |
| Organization Name | ANDROSCOGGIN VALLEY HOSPITAL, INC. |
| Practice Address |
59 Page Hill Rd Berlin NH 03570-3542 |
| Practice Telephone | 6033265827 |
| Practice Fax Number | 6033265832 |
| Mailing Telephone | 6033265827 |
| Mailing Fax Number | 6033265832 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-08-19 |
| Authorized Official Name | MR. RUSSELL KEENE II (CEO) |
| Authorized Official Telephone | 6033265601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 00050 | NH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 00050 | NH | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
00050 | NH | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
00050 | NH | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
00050 | NH | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
00050 | NH | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
00050 | NH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
00050 | NH | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
00050 | NH | Allopathic & Osteopathic Physicians |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
00050 | NH | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | HARVARD PILGRIM | 900452 | 01 |
| NH | 80300022 | 05 | |
| NH | CIGNA | 0449085 | 01 |
| NH | ANTHEM | 1GA | 01 |
| 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 |
| 1134266679 | Androscoggin Valley Hospital, Inc. | Medicare Defined Swing Bed Unit | 59 Page Hill Rd, Berlin, NH 03570 | 2007-02-01 |
| 1861568743 | Androscoggin Valley Hospital, Inc. | General Acute Care Hospital | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2006-11-24 |
| 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 | 03570-3542 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346575560 | Androscoggin Valley Hospital Ob | General Acute Care Hospital | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2009-10-06 |
| 1861568743 | Androscoggin Valley Hospital, Inc. | General Acute Care Hospital | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2006-11-24 |
| 1760413777 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | 225 Memorial Drive, Berlin, WI 54923-1243 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013235449 | Littleton Regional Hospital | General Acute Care Hospital | 12 Mollybrook Dr, Stark, NH 03582-6108 | 2010-05-10 |
| 1518094663 | Huggins Hospital | General Acute Care Hospital | 240 South Main St, Wolfeboro, NH 03894-0912 | 2007-02-27 |
| 1528162799 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-2001 | 2006-09-11 |
| 1871534792 | Huggins Hospital | General Acute Care Hospital | 27 New Durham Road, Alton, NH 03809 | 2006-06-10 |
| 1861489437 | Upper Connecticut Valley Hospital Association | General Acute Care Hospital | 181 Corliss Lane, Colebrook, NH 03576 | 2005-09-29 |
| 1144223702 | Littleton Hospital Association | General Acute Care Hospital | 600 St Johnsbury Rd, Littleton, NH 03561 | 2005-05-27 |
| 1003320995 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-1421 | 2017-11-30 |
| 1811401656 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-1421 | 2017-11-30 |
| 1841655677 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Road, Woodsville, NH 03785-2001 | 2015-12-21 |
| 1720416605 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-1421 | 2013-10-31 |
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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.