NPIMap

Organization Active NPI

Windsor Hospital Corporation

  • Internal Medicine Physician
  • Woodstock, VT
National Provider Identifier
1295832400
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
703 Issued in VT
Legal business name
WINDSOR HOSPITAL CORPORATION
Practice address
32 Pleasant St
Woodstock, VT 05091-1122
Phone
(802) 457-3030
Fax
(802) 457-2157
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
WINDSOR HOSPITAL CORPORATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Janine Hodge
Title
Office Manager
Phone
(802) 457-5405

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 5

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

Other NPIs on the same Medicare enrollment 2

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

Corporate family (same tax ID) 6

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

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 326

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

View all 326

Medicare Care Compare: Hospital

Listed as
Mt Ascutney Hospital CCN 471302
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT

Hospital certification: CCN 471302

Legal name
WINDSOR HOSPITAL CORPORATION
Doing business as
MT ASCUTNEY HOSPITAL AND HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2001
Last certification
Jun 21, 2023
Beds
35
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Sep 5, 1933 in VT
Enrollment address
289 County Rd
Windsor, VT 50899000
Main/Primary Hospital Location

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Matthew S Houde
Individual 		Corporate Director Jul 1, 2014
Catharine Crawford
Individual 		Corporate Director Jan 1, 2025
John Gilman
Individual 		Corporate Director Feb 1, 2014
Jeffrey King
Individual 		Corporate Director Jan 1, 2024
Bryan Huot
Individual 		Corporate Director Jan 1, 2019
Matthew R Foster
Individual 		Corporate Officer
Chief Executive Officer		 Jan 1, 2024
John Tansey
Individual 		Corporate Director
Secretary of the Board		 Feb 1, 2014
Dartmouth-Hitchcock Health
Organization · Lebanon, NH
Non-profit 		5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Steven Surgenor
Individual 		Corporate Director Jul 1, 2014
Lisa Richmond
Individual 		Corporate Director Jan 1, 2019
Juliann Barrett
Individual 		Corporate Director Jan 1, 2020
Tegan Deogburn
Individual 		Corporate Director
Director Medical Staff SVCS		 Dec 6, 2023
Patricia Putnam
Individual 		Corporate Director Jan 1, 2013
Patrici Drew
Individual 		W-2 Managing Employee
Manager Enrollment Ops		 Sep 1, 2020
Alan Keiller
Individual 		Corporate Director Jul 1, 2014
Samuel Shields
Individual 		Corporate Director Jan 1, 2020
Pam Brown
Individual 		Corporate Director Feb 1, 2019
Thomas Patrick Sullivan
Individual 		Corporate Director Jan 1, 2017
Deanna Howard
Individual 		Corporate Director Jul 1, 2014
Hannah Bianchi
Individual 		Corporate Officer
Chief Operating Officer		 Jan 1, 2024
William S Palmer
Individual 		Corporate Director Jan 1, 2014
Terri Decker
Individual 		Corporate Director Jan 1, 2018
Eric Crainich
Individual 		Corporate Director Jan 1, 2019
Carol Vivian
Individual 		Corporate Director Jan 1, 2024
Michael Fuerst
Individual 		Corporate Director Jan 1, 2022
Christopher Nesbitt
Individual 		Corporate Director Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000365 VT Part a Provider - Critical Access Hospital 2860387214 Receives reassigned benefits from 109 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hanover, NH; Windsor, VT; Woodstock, VT

National Provider Directory

Tax ID family
Windsor Hospital Corp (7 organizations share this tax ID)
Part of
Windsor Hospital Corp

Locations

32 Pleasant St
Ste 1
Woodstock, VT 05091
Phone (802) 672-1891

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 703 VT
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 703 VT Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 703 VT
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 703 VT
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 703 VT

Addresses

NPPES NPI Registry

Primary practice location

32 Pleasant St
Woodstock, VT 05091-1122

Mailing address

32 Pleasant St
Woodstock, VT 05091-1122
Phone (802) 457-3030

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0VN0993MedicaidVT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2018.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1295832400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PLEASANT ST",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050911122",
            "telephone_number": "802-457-3030",
            "fax_number": "802-457-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PLEASANT ST",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050911122",
            "telephone_number": "802-457-3030",
            "fax_number": "802-457-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDSOR HOSPITAL CORPORATION",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-457-5405"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "703",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "703",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "703",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "703",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0993",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

Verify at the official NPI Registry.