NPIMap

Organization Active NPI

Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
National Provider Identifier
1386680593
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
00050 Issued in NH
Legal business name
ANDROSCOGGIN VALLEY HOSPITAL, INC.
Practice address
59 Page Hill Rd
Berlin, NH 03570-3542
Phone
(603) 326-5827
Fax
(603) 326-5832
NPI assigned
Jun 22, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

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
Ms. Suzanne L Landry
Title
VP of Compliance and Risk Managment
Phone
(603) 326-5608

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 00050 NH
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 00050 NH
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 00050 NH
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 00050 NH
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X 00050 NH
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X 00050 NH
Pediatric Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085P0229X 00050 NH
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 00050 NH
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X 00050 NH
Critical Access Hospital 282NC0060X 00050 NH Primary

Addresses

Primary practice location

59 Page Hill Rd
Berlin, NH 03570-3542

Mailing address

59 Page Hill Rd
Berlin, NH 03570-3542
Phone (603) 326-5827

Other practice location 1

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 752-2200

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000121 NH Part B Supplier - Clinic/Group Practice 2365350725 Receives reassigned benefits from 140 practitioners
Practice locations: Berlin, NH; Gorham, NH; North Conway, NH
O20061104000097 NH Part A Provider - Critical Access Hospital 2365350725 Receives reassigned benefits from 89 practitioners
2 other NPIs on this enrollment
Practice locations: Berlin, NH; Colebrook, NH; Gorham, NH; Lancaster, NH; North Conway, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386680593. Details of each certification follow.

Hospital certification: CCN 301310

Legal name
ANDROSCOGGIN VALLEY HOSPITAL INC
Doing business as
ANDROSCOGGIN VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Nov 18, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 28, 1969 in NH
Enrollment address
59 Page Hill Rd
Berlin, NH 35703531
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Androscoggin Valley HospitalCCN 301310 · All quality measures
Overall star rating
2 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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Javier D Cardenas Individual Corporate DirectorBoard Member Jul 25, 2013 5.88%
Androscoggin Valley Hospital Inc Organization, Berlin, NH Corporation Operational/Managerial Control Nov 8, 2007
David Backler Individual Corporate Director Aug 25, 2022
Thomas P Mee Individual Corporate Officer Mar 1, 2019
Suzanne Louise Landry Individual Corporate OfficerCompliance Officer Sep 27, 2016
W-2 Managing EmployeeCompliance Officer Sep 27, 2016
Tyler White Individual Corporate Director May 20, 2021
Jessie Perkins Individual Corporate Director Mar 7, 2024
Martha Laflamme Individual Corporate DirectorBoard Member Jul 25, 2013 5.88%
Thomas McCue Individual Corporate Director Jun 28, 2018
Susan M Lessard Individual Corporate Director Jan 1, 2024
North Country Healthcare, Inc. Organization, Whitefield, NH Corporation, Management services company, Non-profit Operational/Managerial Control Apr 1, 2016 100%
Daniel E Van Buren Individual Corporate DirectorBoard Member Oct 30, 2014 5.88%
Michael D. Peterson Individual Corporate OfficerPresident/Ceo Apr 1, 2016 5.88%
Corporate DirectorPresident/Ceo Apr 1, 2016 5.88%
W-2 Managing EmployeePresident Apr 1, 2016 5.88%
Jay Poulin Individual Corporate Director Oct 1, 2009
Jessica Christine Locke Individual Corporate Director Aug 25, 2022
Matthew John Streeter Individual Corporate Officer Dec 14, 2021
W-2 Managing Employee Dec 14, 2021
Operational/Managerial Control Dec 14, 2021
Christy L Langlois Individual Corporate Director May 4, 2023

Owners & managing parties with NPI records 5

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

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 143

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 143

Affiliated clinicians 178

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

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1386680593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703542",
            "telephone_number": "603-326-5827",
            "fax_number": "603-326-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703542",
            "telephone_number": "603-326-5827",
            "fax_number": "603-326-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Middle St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "NH",
            "postal_code": "035843508",
            "country_code": "US",
            "telephone_number": "603-752-2200",
            "fax_number": "603-752-1836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDROSCOGGIN VALLEY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "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 OF COMPLIANCE AND RISK MANAGMENT",
        "authorized_official_telephone_number": "603-326-5608",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NH",
            "license": "00050",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NH",
            "license": "00050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NH

Sources for this page

Verify at the official NPI Registry.