NPIMap

Organization Active NPI

Cottage Hospital

  • Psychiatric Hospital Unit
  • Woodsville, NH
National Provider Identifier
1841655677
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
01770 Issued in NH
Legal business name
COTTAGE HOSPITAL
Practice address
90 Swiftwater Road
Woodsville, NH 03785-2001
Phone
(603) 747-9000
Fax
(603) 747-3310
NPI assigned
Dec 21, 2015
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COTTAGE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Ann Duffy
Title
Cfo
Phone
(603) 747-9244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 01770 NH Primary
Critical Access Hospital 282NC0060X 01770 NH

Addresses

Primary practice location

90 Swiftwater Road
Woodsville, NH 03785-2001

Mailing address

90 Swiftwater Road
Woodsville, NH 03785-2001
Phone (603) 747-9000

Other identifiers 1

IdentifierTypeStateIssuer
3074431MedicaidNH

Other names 1

  • Cottage Hospital Gero-Psychiatric Unit (GPU) Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061104000109 NH Part A Provider - Critical Access Hospital 1951219617 Receives reassigned benefits from 27 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodsville, NH
O20160324000607 NH Part A Provider - Critical Access Hospital 1951219617 Receives reassigned benefits from 1 practitioner
Practice locations: Woodsville, NH
O20220817002635 NH Part A Provider - Critical Access Hospital 1951219617 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodsville, NH

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1841655677. Details of each certification follow.

Hospital certification: CCN 301301

Legal name
COTTAGE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2001
Last certification
Aug 11, 2022
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1903 in NH
Enrollment address
90 Swiftwater Rd
Woodsville, NH 37851421
Other Hospital Practice Location

Hospital certification: CCN 30M301

Legal name
COTTAGE HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1903 in NH
Enrollment address
90 Swiftwater Rd
Woodsville, NH 37851421

Hospital certification: CCN 30Z301

Legal name
COTTAGE HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1903 in NH
Enrollment address
90 Swiftwater Rd
Woodsville, NH 37851421
Hospital Swing-Bed 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).

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cottage HospitalCCN 301301 · All quality measures
Overall star rating
4 of 5
Type
Critical Access 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
Cottage Hospital Ictt6 organizations share this tax ID, including this one
Part of
Cottage Hospital Ictt

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Delphine Glorieux-Sullivan Individual Corporate Officer Dec 18, 2021
Corporate Director Dec 15, 2021
Corporate OfficerCmo Nov 1, 2022
Thomas Page Individual Corporate Director Feb 27, 2017
Corporate Director Feb 1, 2020
Andrew I Barter Individual Corporate Director Feb 1, 2023
Holly a McCormack Individual Operational/Managerial ControlCeo Apr 1, 2021 100%
Corporate DirectorCeo Apr 1, 2021 100%
W-2 Managing EmployeeProvider Enrollment Oct 1, 2019
Corporate OfficerCeo May 1, 2021
Mark S Harris Individual Corporate Director Feb 1, 2022
Rebecca Zampieri Individual Corporate Director Feb 1, 2023
Ann M Duffy Individual Corporate OfficerCfo Apr 1, 2017 100%
Corporate OfficerChief Financial Officer Apr 1, 2017 100%
Operational/Managerial ControlCfo Apr 1, 2017 100%
William J Taxter Individual Corporate Director Feb 24, 2014
Corporate Director Mar 1, 2016
Corporate Director Feb 1, 2014
Clare M Vallee Individual Corporate Director Feb 1, 2023

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 118

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

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1841655677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SWIFTWATER ROAD",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037852001",
            "telephone_number": "603-747-9000",
            "fax_number": "603-747-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SWIFTWATER ROAD",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037852001",
            "telephone_number": "603-747-9000",
            "fax_number": "603-747-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COTTAGE HOSPITAL",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-747-9244"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NH",
            "license": "01770",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NH",
            "license": "01770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074431",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Hospital Gero-Psychiatric Unit (GPU)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cottage Hospital Gero-Psychiatric Unit (GPU)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodsville, NH

Sources for this page

Verify at the official NPI Registry.