NPIMap

Organization Active NPI

Springfield Hospital Inc.

  • Psychiatric Hospital
  • Bellows Falls, VT
National Provider Identifier
1073636700
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
694 Issued in VT
Legal business name
SPRINGFIELD HOSPITAL INC.
Practice address
1 Hospital CT
Bellows Falls, VT 05101-1489
Phone
(802) 463-1292
NPI assigned
Apr 9, 2007
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Cutts
Title
Insurance Credentialing Coordinator
Phone
(802) 886-8953

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU
Psychiatric Hospital 283Q00000X 694 VT Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

1 Hospital CT
Bellows Falls, VT 05101-1489

Mailing address

25 Ridgewood Rd
PO Box 2003
Springfield, VT 05156-3050
Phone (802) 885-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040130000327 VT Part B Supplier - Clinic/Group Practice 6507760337 Receives reassigned benefits from 45 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Londonderry, VT; Ludlow, VT; Springfield, VT; Bellows Falls, VT
O20070404000240 VT Part A Provider - Critical Access Hospital 6507760337 1 other NPI on this enrollment
Practice locations: Springfield, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073636700. Details of each certification follow.

Hospital certification: CCN 47M306

Legal name
SPRINGFIELD HOSPITAL INC.
Organization structure
CorporationNon-profit
Incorporated
Aug 13, 1913 in VT
Enrollment address
25 Ridgewood Rd
Springfield, VT 51563050
Hospital Psychiatric Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Springfield Ear Nose3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8 Main St
Ludlow, VT 05149
Phone (802) 228-8867

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kayda Wescott Individual Corporate DirectorDirector of Finance Dec 1, 2018 100%
W-2 Managing EmployeeDirector of Finance Dec 1, 2018 100%
James Remy Individual Corporate DirectorBoard Member Jan 1, 2018 100%
James R Rumrill Individual Corporate DirectorBoard Vice Chairperson Feb 11, 2014 100%
Jessica a Martin Individual Corporate Director Jan 1, 2020 100%
W-2 Managing Employee Jan 1, 2020 100%
Robert Beaudry Individual Corporate DirectorBoard Member Jan 1, 2017 100%
David Sandelman Individual Corporate DirectorBoard Member Jan 1, 2013 100%
Joshua R Dufresne Individual Corporate DirectorDirector / Acting Ceo Dec 1, 2018 100%
Nathaniel D Cobb Individual Corporate DirectorBoard Treasurer Jan 1, 2016 100%
Stephen Lyon Individual Corporate DirectorBoard Secretary Jan 22, 2016 100%
Sarah Vail Individual Corporate DirectorBoard Chairperson Dec 13, 2011 100%
Michael Halstead Individual Corporate OfficerInterim Ceo Jan 17, 2019 100%
Gabriel a St Pierre Individual Corporate DirectorBoard Member Jan 1, 2016 100%

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1073636700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RIDGEWOOD RD",
            "address_2": "PO BOX 2003",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563050",
            "telephone_number": "802-885-2151",
            "fax_number": "802-885-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL CT",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011489",
            "telephone_number": "802-463-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "CUTTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "802-886-8953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VT",
            "license": "694",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellows Falls, VT

Sources for this page

Verify at the official NPI Registry.