NPIMap

Organization Active NPI

Littleton Hospital Association

Doing business as Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
National Provider Identifier
1144223702
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
02790 Issued in NH
Legal business name
LITTLETON HOSPITAL ASSOCIATION
Doing business as
Littleton Regional Healthcare
Practice address
600 St Johnsbury Rd
Littleton, NH 03561
Phone
(603) 444-9395
NPI assigned
May 27, 2005
Last updated
Sep 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Leslie Walker
Title
VP of Finance
Phone
(603) 444-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 02790 NH Primary

Addresses

Primary practice location

600 St Johnsbury Rd
Littleton, NH 03561

Mailing address

PO Box 160
Littleton, NH 03561
Phone (603) 444-9000

Other identifiers 12

IdentifierTypeStateIssuer
0301302MedicaidVT
OP13013MedicaidRI
138260000MedicaidME
7003625MedicaidMA
54141OtherNHCIGNA PROVIDER #
0000783MedicaidVT
0285MedicaidNY
0300008MedicaidRI
0287MedicaidNY
301302OtherNHANTHEM BCBS PROV #
7100353MedicaidMA
80300008MedicaidNH

Other names 1

  • Littleton Regional Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000785 NH Part B Supplier - Clinic/Group Practice 6901796556 Receives reassigned benefits from 241 practitioners
5 other NPIs on this enrollment
Practice locations: North Conway, NH; Woodsville, NH; Plymouth, NH; Littleton, NH; Lincoln, NH; Franconia, NH
O20060831000270 NH Part A Provider - Critical Access Hospital 6901796556 Receives reassigned benefits from 160 practitioners
Practice locations: Littleton, NH

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1144223702. Details of each certification follow.

Hospital certification: CCN 301302

Legal name
LITTLETON HOSPITAL ASSOCIATION
Doing business as
LITTLETON REGIONAL HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2001
Last certification
Feb 17, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1906 in NH
Enrollment address
600 Saint Johnsbury Rd
Littleton, NH 35613442
Main/Primary Hospital Location

Hospital certification: CCN 300008

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LITTLETON REGIONAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Aug 31, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 1, 1994
Beds
40
Ownership / control type
Other
Facility address
600 St Johnsbury Road
Littleton, NH 03561

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 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Littleton Regional HealthcareCCN 301302 · All quality measures
Overall star rating
1 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Roger Gingue Individual OtherBoard Member Jan 24, 2012
Edward Shanshala Individual OtherBoard Member Jan 1, 2017
Russell George Keene Individual OtherBoard Member Mar 14, 2017
Patrick M Fitzpatrick Individual OtherBoard Member Jan 1, 2017
Erin Hennessey Individual OtherBoard Member Jan 28, 2014
Leslie Walker Individual Corporate OfficerController Jan 1, 2017
W-2 Managing EmployeeController Jan 1, 2017
Operational/Managerial ControlController Jan 1, 2017
Nicholas R Marks Individual OtherBoard Member Jan 1, 2017
Laurie Morgan Individual OtherBoard Member Feb 9, 2015
Robert F. Nutter Individual Corporate OfficerPresident Jan 1, 2017
W-2 Managing EmployeePresident Jan 1, 2017
Operational/Managerial ControlPresident Jan 1, 2017
Stephen a Goldberg Individual OtherBoard Member Mar 14, 2017
John P Sauter Individual OtherBoard Member Jan 1, 1987
Steven T Ciampa Individual Corporate Officer Aug 28, 2020
Corporate Director Aug 28, 2020
W-2 Managing Employee Aug 28, 2020
Edward Brewer Individual OtherBoard Member Jan 1, 2017
Deane E Rankin Individual OtherBoard Member Sep 28, 2010
Elizabeth Kunz Individual OtherBoard Member Jan 1, 2017

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Littleton Regional HealthcareLittleton, NH, CCN 30Z302 Hospital Operational/Managerial Control Jan 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 282

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.

View all 282

Affiliated clinicians 195

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 195

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1144223702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ST JOHNSBURY RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "603-444-9505"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NH",
            "license": "02790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301302",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP13013",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138260000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003625",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "54141",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000783",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300008",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROV #",
            "identifier": "301302",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100353",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80300008",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Littleton Regional Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.