ANDROSCOGGIN VALLEY HOSPITAL, INC. (NPI# 1659418622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659418622 |
| Entity Type | Organization |
| Organization Name | ANDROSCOGGIN VALLEY HOSPITAL, INC. |
| Other Organization Name | ANDROSCOGGIN VALLEY HH&H |
| Practice Address |
3 12th St Berlin NH 03570-3860 |
| Mailing Address |
59 Page Hill Rd Berlin NH 03570-3542 |
| Practice Telephone | 6037522200 |
| Mailing Telephone | 6037522200 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | RUSSELL KEENE (CEO) |
| Authorized Official Telephone | 6033265601 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDROSCOGGIN VALLEY HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 02488 | NH | Agencies |
| Other Name | Type Code |
|---|---|
| ANDROSCOGGIN VALLEY HH&H | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
3 12TH ST |
| City | BERLIN |
| State | NH |
| Zip Code | 03570-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518446897 | Tammy Lynn Messineo | Social Worker | 3 12th St, Berlin, NH 03570-3860 | 2018-08-08 |
| 1255810594 | Joseph Jay Agrodina | Social Worker | 3 12th St, Berlin, NH 03570-3860 | 2018-08-08 |
| 1942789292 | Michelle L Waleryszak | Social Worker | 3 12th St, Berlin, NH 03570-3860 | 2018-08-08 |
| 1992284269 | Courtney Christine Theriault | Social Worker | 3 12th St, Berlin, NH 03570-3860 | 2018-08-08 |
| 1174002455 | Mallory Michele Morin | Social Worker | 3 12th St, Berlin, NH 03570-3860 | 2018-08-08 |
| 1316426687 | Amanda Elizabeth Perras | Social Worker | 3 12th St, Berlin, NH 03570-3860 | 2018-08-08 |
| 1194263434 | Amy Michaud | Counselor | 3 12th St, Berlin, NH 03570-3860 | 2017-02-07 |
| 1376087650 | Gemini Demers | Counselor | 3 12th St, Berlin, NH 03570-3860 | 2016-12-06 |
| 1477096816 | Emily Jacobs | Counselor | 3 12th St, Berlin, NH 03570-3860 | 2016-12-01 |
| 1871719393 | Chester O Annis | Counselor | 3 12th St, Berlin, NH 03570-3860 | 2007-04-17 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679021638 | Harborside Hospice, LLC | Hospice Care, Community Based | 23 Atkinson Depot Rd Ste 105, Plaistow, NH 03865-3141 | 2016-09-19 |
| 1437403037 | Life Choice Hospice of New Hampshire, LLC | Hospice Care, Community Based | 1 Hampton Rd Ste 210, Exeter, NH 03833-4848 | 2012-11-04 |
| 1982958583 | Life Choice Hospice of New Hampshire II, LLC | Hospice Care, Community Based | 170 S River Rd Ste 2, Bedford, NH 03110-6941 | 2012-11-04 |
| 1689981193 | Brookhaven Hospice of New Hampshire, LLC | Hospice Care, Community Based | 100 Lafayette Rd, Hampton Falls, NH 03844 | 2010-09-03 |
| 1699969535 | Beacon Hospice, LLC | Hospice Care, Community Based | 391 West St, Keene, NH 03431-2409 | 2007-09-04 |
| 1710170204 | Amedisys New Hampshire, L.L.C. | Hospice Care, Community Based | 8 Commerce Dr Ste 101, Bedford, NH 03110 | 2007-08-20 |
| 1053519272 | Beacon Hospice, LLC | Hospice Care, Community Based | 70 Commercial St, 4th Floor, Concord, NH 03301-5094 | 2007-07-10 |
| 1669512794 | Solamor Hospice Corporation | Hospice Care, Community Based | 170 South River Road, Building 2, Bedford, NH 03110-6941 | 2007-02-07 |
| 1619908241 | Lake Sunapee Homecare and Hospice | Hospice Care, Community Based | 107 Newport Road, New London, NH 03257 | 2006-07-05 |
| 1780650994 | Seacoast Hospice | Hospice Care, Community Based | 10 Hampton Rd, Exeter, NH 03833-4806 | 2006-02-27 |
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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.