Cheshire Medical Center

Organization Active NPI General Acute Care Hospital · Keene, NH

NPI 1629181516 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1629181516
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
00014 (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
Organization subpart
No

Authorized official

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

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 with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 3

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 188

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

View all 188

Affiliated clinicians 702

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

View all 702

Medicare Care Compare: Hospital

Listed as
Cheshire Medical Center CCN 300019
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care 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 NH

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
Corporation · Non-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

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 Director
Cfo
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 Employee
Director Revenue Cycle Integrity
Sep 17, 2017
Operational/Managerial Control
Director Revenue Cycle Integrity
Sep 17, 2017
Patrici Drew
Individual
Operational/Managerial Control
Director, 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 Control
Ar Management Director II
Jun 1, 2020
Serena R Shomody
Individual
Corporate Officer
Med Staff President
Nov 1, 2024

Medicare enrollment records

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

National Provider Directory

Tax ID family
Cheshire Medical Center (4 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

580 Court St
Keene, NH 03431-1718

Mailing address

580 Court St
Keene, NH 03431-1718

Other identifiers

IdentifierTypeStateIssuer
NH0604OtherNHPTAN
RE0109OtherNHPTAN
RE3328OtherNHPTAN
0300019MedicaidVT

Electronic endpoints

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

Other providers in Keene, NH

All providers in Keene, NH · General Acute Care Hospital in New Hampshire

Sources for this page

Verify at the official NPI Registry.