NPIMap

Organization Active NPI

Littleton Hospital Association

Doing business as Littleton Regional Healthcare

  • Medicare Defined Swing Bed Hospital Unit
  • Littleton, NH
National Provider Identifier
1679642482
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
02790 Issued in NH
Legal business name
LITTLETON HOSPITAL ASSOCIATION
Doing business as
Littleton Regional Healthcare
Practice address
600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone
(603) 444-9000
NPI assigned
Nov 7, 2006
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Andrew Majka
Title
Cfo
Phone
(603) 444-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 02790 NH Primary

Addresses

Primary practice location

600 Saint Johnsbury Rd
Littleton, NH 03561-3442

Mailing address

PO Box 160
Littleton, NH 03561-0160
Phone (603) 444-9000

Other identifiers 12

IdentifierTypeStateIssuer
7003629MedicaidMA
0300008MedicaidRI
301302OtherNHANTHEM BCBS PROVIDER #
138260000MedicaidME
54141OtherNHCIGNA PROVIDER #
7100353MedicaidMA
0301302MedicaidVT
80300008MedicaidNH
322017OtherNHMVP PROVIDER #
0000783MedicaidVT
01729235MedicaidNY
OP13013MedicaidRI

Other names 1

  • Littleton Regional Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829001834 NH Part A Provider - Critical Access Hospital 6901796556 Practice locations: Littleton, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679642482. Details of each certification follow.

Hospital certification: CCN 30Z302

Legal name
LITTLETON HOSPITAL ASSOCIATION
Doing business as
LITTLETON REGIONAL HEALTHCARE
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1906 in NH
Enrollment address
600 Saint Johnsbury Rd
Littleton, NH 35613442
Other Hospital Practice Location

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).

National Provider Directory

National Provider Directory

Locations

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Roger Gingue Individual Corporate DirectorBoard Member Jan 24, 2012
Edward Shanshala Individual Corporate DirectorBoard Member Jan 1, 2017
James Hamblin Individual Corporate DirectorBoard Member Jan 24, 2012
Patrick M Fitzpatrick Individual Corporate DirectorBoard Member Jan 1, 2017
Erin Hennessey Individual Corporate DirectorBoard Member Jan 28, 2014
Leslie Walker Individual Corporate OfficerController Jan 1, 2017
W-2 Managing EmployeeController Jan 1, 2017
Operational/Managerial ControlController Jan 1, 2017
Nicholas R Marks Individual Corporate DirectorBoard Member Jan 1, 2017
Laurie Morgan Individual Corporate DirectorBoard Member Feb 9, 2015
Robert F. Nutter Individual Corporate OfficerPresident Jan 1, 2017
W-2 Managing EmployeePresident Jan 1, 2017
James Nohl Individual Corporate DirectorBoard Member Feb 9, 2014
John P Sauter Individual Corporate DirectorBoard Member Jan 1, 1987
Steven T Ciampa Individual Corporate OfficerCfo Aug 28, 2020
Corporate DirectorCfo Aug 28, 2020
W-2 Managing EmployeeCfo Aug 28, 2020
Edward Brewer Individual Corporate DirectorBoard Member Jan 1, 2017
Littleton Hospital Association Organization, Littleton, NH Non-profit Operational/Managerial Control Jan 1, 2010
Deane E Rankin Individual Corporate DirectorBoard Member Sep 28, 2010
Elizabeth Kunz Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1679642482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035610160",
            "telephone_number": "603-444-9000",
            "fax_number": "603-444-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT JOHNSBURY RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613442",
            "telephone_number": "603-444-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "MAJKA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-444-9504"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NH",
            "license": "02790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003629",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300008",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER #",
            "identifier": "301302",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138260000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "54141",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100353",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301302",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80300008",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER #",
            "identifier": "322017",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000783",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729235",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP13013",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Littleton Regional Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.