NPIMap

Organization Active NPI

Southern New Hampshire Medical Center

  • Psychiatric Hospital Unit
  • Nashua, NH
National Provider Identifier
1740365683
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
02496 Issued in NH
Legal business name
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
Practice address
29 Northwest Blvd
Nashua, NH 03063-4068
Phone
(603) 577-2000
NPI assigned
Oct 26, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Colin T McHugh
Title
President/Ceo
Phone
(603) 577-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 02496 NH Primary

Addresses

Primary practice location

29 Northwest Blvd
Nashua, NH 03063-4068

Mailing address

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2000

Other practice location 1

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2000

Other identifiers 1

IdentifierTypeStateIssuer
40004799MedicaidNH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070131000348 NH Part A Provider - Hospital 4981680048 Practice locations: Nashua, NH
O20081010000156 NH Part B Supplier - Hospital Department(S) 4981680048 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Nashua, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740365683. Details of each certification follow.

Hospital certification: CCN 30S020A

Legal name
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
Doing business as
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1891 in NH
Enrollment address
8 Prospect St
Nashua, NH 30603925
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 1

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.

National Provider Directory

National Provider Directory
Tax ID family
South NH Regional Medic4 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.

Member organizations 2

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

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Alonzo Deberry Individual Corporate DirectorTrustee Oct 27, 2022
Martha E Maunsell Individual W-2 Managing EmployeeDir. of Revenue and Reimbursement Dec 1, 2025
Helen Honorow Individual Corporate DirectorTrustee Aug 17, 2022
Karen K Maynard Individual Corporate DirectorTrustee Jun 8, 2021
Colin T McHugh Individual Corporate OfficerCeo Apr 23, 2022
Corporate DirectorCeo Apr 23, 2022
Paula M Buley Individual Corporate DirectorTrustee Jun 8, 2021
Peter Apostolicas Individual Corporate DirectorTrustee Jan 21, 2025
Eitan C Zeira Individual Corporate DirectorTrustee Aug 17, 2022
Heather E Bender Individual Corporate DirectorTrustee Jan 21, 2025
Bobbie Bagley Individual Corporate DirectorBoard Chair Jun 8, 2021
Kenneth Matsis Individual Corporate OfficerSVP/Cfo Mar 1, 2025
Craig Fitzgerald Individual Corporate DirectorVice Chair May 19, 2022
Southern New Hampshire Health System Inc Organization, Nashua, NH Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2012 100%
Brett Sweeney Individual Corporate DirectorTrustee Jan 17, 2023
Melliyal Annamalai Individual Corporate DirectorTrustee Jan 9, 2018
Mark W. Begor Individual Corporate DirectorTreasurer Oct 27, 2022
Solutionhealth Organization, Bedford, NH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2018 100%
Joseph Laplante Individual Corporate DirectorTrustee Jan 8, 2019

Owners & managing parties with NPI records 2

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1740365683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634068",
            "telephone_number": "603-577-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603925",
            "country_code": "US",
            "telephone_number": "603-577-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN NEW HAMPSHIRE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "603-577-2000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NH",
            "license": "02496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40004799",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.