NPIMap

Organization Active NPI

Androscoggin Valley Hospital, Inc

  • Clinical Medical Laboratory
  • Berlin, NH
National Provider Identifier
1114359635
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00050 Issued in NH
Legal business name
ANDROSCOGGIN VALLEY HOSPITAL, INC
Practice address
59 Page Hill Rd
Berlin, NH 03570-3531
Phone
(603) 752-2200
Fax
(603) 752-1836
NPI assigned
Aug 7, 2013
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Suzanne L Landry, MBA, CPCO
Title
VP Compliance and Risk Management
Phone
(603) 326-5608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00050 NH Primary

Addresses

Primary practice location

59 Page Hill Rd
Berlin, NH 03570-3531

Mailing address

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

Other identifiers 4

IdentifierTypeStateIssuer
80300022MedicaidNH
0449085OtherNHCIGNA
1GAOtherNHANTHEM
900452OtherNHHARVARD PILGRIM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0086506Androscoggin Valley Hosp Laboratory59 Page Hill Rd, Berlin, NH 03570ComplianceMar 31, 2028
30D0869509Androscoggin Valley Hospital Nursing59 Page Hill Rd, Berlin, NH 03570Certificate of waiverAug 31, 2026
30D1049792Androscoggin Valley Hospital59 Page Hill Rd, Berlin, NH 03570Provider-performed microscopyJan 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mountain Health Service8 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1114359635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703531",
            "telephone_number": "603-752-2200",
            "fax_number": "603-752-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703531",
            "telephone_number": "603-752-2200",
            "fax_number": "603-752-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROSCOGGIN VALLEY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP COMPLIANCE AND RISK MANAGEMENT",
        "authorized_official_telephone_number": "603-326-5608",
        "authorized_official_credential": "MBA, CPCO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NH",
            "license": "00050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80300022",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0449085",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1GA",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "900452",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.