Provider Demographics
NPI:1720416605
Name:COTTAGE HOSPITAL
Entity Type:Organization
Organization Name:COTTAGE HOSPITAL
Other - Org Name:COTTAGE HOSPITAL AMBULATORY SERVICES
Other - Org Type:Doing Business As
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:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1421
Mailing Address - Country:US
Mailing Address - Phone:603-747-9000
Mailing Address - Fax:603-747-3310
Practice Address - Street 1:90 SWIFTWATER RD
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1421
Practice Address - Country:US
Practice Address - Phone:603-747-9000
Practice Address - Fax:603-747-3310
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COTTAGE HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-31
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
VT0301301Medicaid
NH3074431Medicaid
NH3074431Medicaid