NPIMap

Organization Active NPI

Cheshire Medical Center

  • General Acute Care Hospital
  • Keene, NH
National Provider Identifier
1629181516
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
00014 Issued in NH
Legal business name
CHESHIRE MEDICAL CENTER
Practice address
580 Court St
Keene, NH 03431-1718
Phone
(603) 354-5454
NPI assigned
Aug 16, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Gary Wood, MD
Title
Director Revenue Cycle Integrity
Phone
(603) 354-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 00014 NH Primary

Addresses

Primary practice location

580 Court St
Keene, NH 03431-1718

Mailing address

580 Court St
Keene, NH 03431-1718

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050909000558 NH Part A Provider - Hospital 1456260165 Practice locations: Keene, NH; Winchester, NH; Walpole, NH; Peterborough, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629181516. Details of each certification follow.

Hospital certification: CCN 300019

Legal name
CHESHIRE MEDICAL CENTER
Doing business as
CHESHIRE MEDICAL CENTER/DARTMOUTH HITCHCOCK-KEENE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 7, 2016
Beds
169
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 31, 1980 in NH
Enrollment address
580 Court St
Keene, NH 34311718
Main/Primary Hospital Location
Hospital subgroups
Acute care, Swing-bed approved, Psychiatric unit, Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cheshire Medical CenterCCN 300019 · All quality measures
Overall star rating
4 of 5
Type
Acute Care 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
Cheshire Medical Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
David Byung Min Individual Corporate Officer Apr 16, 2026
Elizabeth a Cotter Individual Corporate Officer Jan 1, 2021
Mark Bodin Individual Corporate Officer Jan 1, 2021
Todd Roberts Individual Corporate DirectorCfo Apr 28, 2025
W-2 Managing Employee Apr 28, 2025
Michael Chelstowski Individual Corporate Officer Mar 16, 2023
Andrew G Tremblay Individual Corporate Director Apr 8, 2015
Joseph L Perras Individual Corporate Officer Aug 7, 2023
Sally Malay Individual Corporate Officer Aug 1, 2025
Mark Gavin Individual Corporate Director Aug 30, 2016
Deborah Scribner Individual Corporate Officer Apr 16, 2026
Gary P Wood Individual W-2 Managing EmployeeDirector Revenue Cycle Integrity Sep 17, 2017
Operational/Managerial ControlDirector Revenue Cycle Integrity Sep 17, 2017
Patrici Drew Individual Operational/Managerial ControlDirector, Medical Staff Office Apr 13, 2026
Wendy Fielding Individual Corporate Director Mar 20, 2015
Paige Walker Individual Corporate Officer Aug 1, 2025
Michael Waters Individual Corporate Officer Jul 1, 2020
Gina Obrien Individual Corporate Officer Aug 1, 2022
Alan Kintisch Individual Corporate Officer Oct 1, 2024
Barbara Duckett Individual Corporate Officer Jan 1, 2021
Barbara Moore Individual Operational/Managerial ControlAr Management Director II Jun 1, 2020
Serena R Shomody Individual Corporate OfficerMed Staff President Nov 1, 2024

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 37

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 37

Affiliated clinicians 702

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

View all 702

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1629181516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718",
            "telephone_number": "603-354-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESHIRE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE INTEGRITY",
        "authorized_official_telephone_number": "603-354-5454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NH",
            "license": "00014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.