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Androscoggin Valley Hospital Inc

Organization Active NPI General Practice Physician · Berlin, NH

NPI 1679526644 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1679526644
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
00050 (NH)
Legal business name
ANDROSCOGGIN VALLEY HOSPITAL INC
Practice address
7 Page Hill Rd
Berlin, NH 03570-3542
Phone
(603) 752-2300
Fax
(603) 752-8231
NPI assigned
May 18, 2006
Organization subpart
Yes
Parent organization (as reported)
ANDROSCOGGIN VALLEY HOSPITAL INC

Authorized official

Name
Mr. Michael Peterson
Title
Ceo
Phone
(603) 752-5601

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 2

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Practitioners 210

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

View all 210

Affiliated clinicians 178

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

View all 178

Medicare Care Compare: Hospital

Listed as
Androscoggin Valley Hospital CCN 301310
Overall star rating
★★☆☆☆ 2 of 5
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 (2 enrollments) in NH

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
Corporation · Non-profit
Incorporated
Nov 28, 1969 in NH
Enrollment address
59 Page Hill Rd
Berlin, NH 35703531
Main/Primary Hospital Location

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 Director
Board 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 Officer
Compliance Officer		 Sep 27, 2016
W-2 Managing Employee
Compliance Officer		 Sep 27, 2016
Tyler White
Individual 		Corporate Director May 20, 2021
Jessie Perkins
Individual 		Corporate Director Mar 7, 2024
Martha Laflamme
Individual 		Corporate Director
Board 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 Director
Board Member		 Oct 30, 2014 5.88%
Michael D. Peterson
Individual 		Corporate Officer
President/Ceo		 Apr 1, 2016 5.88%
Corporate Director
President/Ceo		 Apr 1, 2016 5.88%
W-2 Managing Employee
President		 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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Androscoggin Valley Hospital
Berlin, NH · CCN 301310		 Hospital Operational/Managerial Control Nov 8, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040929000254 NH Part B Supplier - Clinic/Group Practice 2365350725 Receives reassigned benefits from 143 practitioners
Practice locations: Berlin, NH; Colebrook, NH; Glen, NH; Gorham, NH; Lancaster, 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
This NPI is an additional NPI on the enrollment
Practice locations: Berlin, NH; Colebrook, NH; Gorham, NH; Lancaster, NH; North Conway, NH

National Provider Directory

Part of
Mountian Health Service

Locations

69 Page HL Rd
Berlin, NH 03570

167 Main St
Berlin, NH 03570

278 Main St
Lancaster, NH 03584
Phone (603) 788-5020

260 Cottage St
Littleton, NH 03561

1976 White Mountain Hwy
#110B
North Conway, NH 03860

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207K00000X 00050 NH
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X 00050 NH
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X 00050 NH
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X 00050 NH
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X 00050 NH
Body Imaging Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085B0100X 00050 NH
Nuclear Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085N0904X 00050 NH
Pediatric Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085P0229X 00050 NH
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X 00050 NH
Diagnostic Ultrasound Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085U0001X 00050 NH
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X 00050 NH
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X 00050 NH Yes

Addresses

Primary practice location

7 Page Hill Rd
Berlin, NH 03570-3542

Mailing address

59 Page Hill Rd
Berlin, NH 03570-3542
Phone (603) 752-2300

Other identifiers

IdentifierTypeStateIssuer
30213098MedicaidNH
0449085OtherNHCIGNA

Other names

  • AVH Surgical Associates Doing business as

Other providers in Berlin, NH

All providers in Berlin, NH · General Practice Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.