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
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDSOR HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

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

Specialties & licenses 5

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

Primary practice location

32 Pleasant St
Woodstock, VT 05091-1122

Mailing address

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295832400. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Sep 5, 1933 in VT
Enrollment address
289 County Rd
Windsor, VT 50899000
Main/Primary Hospital Location

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mt Ascutney HospitalCCN 471302 · All quality measures
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
Tax ID family
Windsor Hospital Corp Dba7 organizations share this tax ID, including this one
Part of
Windsor Hospital Corp Dba

Other organizations with this tax ID 6

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

Locations

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

Ownership & related parties

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 OfficerChief Executive Officer Jan 1, 2024
John Tansey Individual Corporate DirectorSecretary 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 DirectorDirector Medical Staff SVCS Dec 6, 2023
Patricia Putnam Individual Corporate Director Jan 1, 2013
Patrici Drew Individual W-2 Managing EmployeeManager 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 OfficerChief 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

Owners & managing parties with NPI records 5

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

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.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 326

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

View all 326

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

Verify at the official NPI Registry.