NPIMap

Organization Active NPI

Monadnock Community Hospital

  • Rural Health Clinic/Center
  • Antrim, NH
National Provider Identifier
1235483520
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MONADNOCK COMMUNITY HOSPITAL
Practice address
12 Elm St
Antrim, NH 03440-3916
Phone
(603) 588-4200
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Richard D Scheinblum
Title
Cfo
Phone
(603) 924-4699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

12 Elm St
Antrim, NH 03440-3916

Mailing address

12 Elm St
Antrim, NH 03440-3916
Phone (603) 588-4200

Other names 1

  • Antrim Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130521000373 NH Part A Provider - Rural Health Clinic 7416933031 Practice locations: Antrim, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235483520. Details of each certification follow.

Rural health clinic certification: CCN 303992

Legal name
MONADNOCK COMMUNITY HOSPITAL
Doing business as
ANTRIM MEDICAL GROUP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 19, 2014
Last certification
Sep 16, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1946 in NH
Enrollment address
12 Elm St
Antrim, NH 03440-3916
Related CCNs
301309

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

Other NPIs with the same Medicare PAC ID 4

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

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
30D0888551Antrim Medical Group12 Elm St, Antrim, NH 03440Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Monadnock Orthopaedic Associates8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

12 Elm St
Ofc
Antrim, NH 03440

454 Old Street Rd
Ste 107
Peterborough, NH 03458
Phone (603) 924-2600

454 Old Street Rd
Ste 301
Peterborough, NH 03458
Phone (603) 924-4680

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Eric M Lasky Individual Corporate Director Jan 21, 2021
Cassandra Clark Individual Corporate Director Jan 26, 2022
Iris Waitt Individual Corporate Director Jan 26, 2022
Kevin J Beaulieu Individual Corporate Director Jan 29, 2025
Paul W Faber Individual Corporate DirectorBoard Member Jan 31, 2018
Linda J Roche Individual Corporate Director Jan 29, 2025
James M Callahan Individual Corporate DirectorBoard Member Jan 31, 2018
Paula Hunter Individual Corporate Director Jan 26, 2022
Jeffrey R Crocker Individual Corporate DirectorBoard Member Jan 25, 2017
Richard D Scheinblum Individual Corporate OfficerCeo Mar 5, 2007
W-2 Managing Employee Mar 5, 2007
Operational/Managerial ControlCeo Mar 5, 2007
Peter M Cerroni Individual Corporate DirectorBoard Member Jan 25, 2017
Patricia R Shuster Individual Corporate DirectorBoard Member Jan 25, 2017
Carolyn D Garretson Individual Corporate DirectorBoard Member Jan 30, 2019
Steve Kim Individual Corporate Director Jan 31, 2024
Rochelle J Manuel-Sokol Individual Contracted Managing EmployeeCfo Mar 1, 2026
Corporate DirectorCfo Mar 1, 2026
W-2 Managing EmployeeCfo Mar 1, 2026
Operational/Managerial ControlCfo Mar 1, 2026
Stephen W Lehmkuhl Individual Corporate Director Apr 26, 2023
Melanie a Presnell Individual Corporate Director Jan 29, 2025
Edward Madigan Individual Corporate Director Jan 31, 2024

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1235483520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034403916",
            "telephone_number": "603-588-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034403916",
            "telephone_number": "603-588-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SCHEINBLUM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-924-4699"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antrim Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antrim, NH

Sources for this page

Verify at the official NPI Registry.