Provider Demographics
NPI:1528162799
Name:COTTAGE HOSPITAL
Entity type:Organization
Organization Name:COTTAGE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-747-9244
Mailing Address - Street 1:90 SWIFTWATER RD
Mailing Address - Street 2:P O BOX 2001
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-2001
Mailing Address - Country:US
Mailing Address - Phone:603-747-9000
Mailing Address - Fax:603-747-0401
Practice Address - Street 1:90 SWIFTWATER RD
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-2001
Practice Address - Country:US
Practice Address - Phone:603-747-9000
Practice Address - Fax:603-747-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01770282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT030Z301Medicaid
VT0000614Medicaid
VT0301301Medicaid
NH300028OtherBC BS
NH30002422Medicaid
VT8000667Medicaid
CT003024692Medicaid
VT0000739Medicaid
NH83010614Medicaid
30Z301Medicare Oscar/Certification
1528162799Medicare PIN
1780723650Medicare PIN
VT8000667Medicaid
CT003024692Medicaid