NPIMap

Organization Active NPI

Upper Connecticut Valley Hospital

  • Clinical Medical Laboratory
  • Colebrook, NH
National Provider Identifier
1154769438
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00592 Issued in NH
Legal business name
UPPER CONNECTICUT VALLEY HOSPITAL
Practice address
181 Corliss LN
Colebrook, NH 03576-3207
Phone
(603) 237-4971
Fax
(603) 237-4452
NPI assigned
Jun 10, 2013
Organization subpart
Yes
Parent organization
UPPER CONNECTICUT VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 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 00592 NH Primary

Addresses

Primary practice location

181 Corliss LN
Colebrook, NH 03576-3207

Mailing address

181 Corliss LN
Colebrook, NH 03576-3207
Phone (603) 237-4971

Other identifiers 1

IdentifierTypeStateIssuer
30D0652824OtherNHCLIA

Other names 1

  • Laboratory Services Other name

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
30D0652824Upper Connecticut Valley Hospital181 Corliss LN, Colebrook, NH 03576ComplianceMar 13, 2028
30D0922098Upper Connecticut Valley Hosp Nursing181 Corliss Lane, Colebrook, NH 03576Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Upper Connecticut Valley6 organizations share this tax ID, including this one
Part of
Upper Connecticut Valley

Other organizations with this tax ID 5

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1154769438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763207",
            "telephone_number": "603-237-4971",
            "fax_number": "603-237-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763207",
            "telephone_number": "603-237-4971",
            "fax_number": "603-237-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CONNECTICUT VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPPER CONNECTICUT VALLEY HOSPITAL",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "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": "00592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "30D0652824",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratory Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colebrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.