Healthcare Provider Details

I. General information

NPI: 1841655677
Provider Name (Legal Business Name): COTTAGE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 SWIFTWATER ROAD
WOODSVILLE NH
03785-2001
US

IV. Provider business mailing address

90 SWIFTWATER ROAD
WOODSVILLE NH
03785-2001
US

V. Phone/Fax

Practice location:
  • Phone: 603-747-9000
  • Fax: 603-747-3310
Mailing address:
  • Phone: 603-747-9000
  • Fax: 603-747-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number01770
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number01770
License Number StateNH

VIII. Authorized Official

Name: ANN DUFFY
Title or Position: CFO
Credential:
Phone: 603-747-9244