| Cottage Hospital Gero-psychiatric Unit (gpu) | |
|
90 Swiftwater Road Woodsville NH 03785-2001 | |
| (603) 747-9000 | |
| (603) 747-3310 |
| Full Name | Cottage Hospital Gero-psychiatric Unit (gpu) |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 90 Swiftwater Road, Woodsville, New Hampshire |
| Authorized Official Name and Position | Ann Duffy (CFO) |
| Authorized Official Contact | 6037479244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage Hospital Gero-psychiatric Unit (gpu) 90 Swiftwater Road Woodsville NH 03785-2001 Ph: (603) 747-9000 | Cottage Hospital Gero-psychiatric Unit (gpu) 90 Swiftwater Road Woodsville NH 03785-2001 Ph: (603) 747-9000 |
| NPI Number | 1841655677 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 1951219617 |
|---|---|
| Medicare Enrollment ID | O20160324000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841655677 | NPI | - | NPPES |
| 3074431 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 01770 (New Hampshire) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 01770 (New Hampshire) | Secondary |
| Provider Name | Gary S Moak |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1760478473 PECOS PAC ID: 7810974532 Enrollment ID: I20150902000609 |
Connecticut River Counseling Svcs. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 Central St., Woodsville, NH 03785 Phone: 603-747-2801 Fax: 603-747-2801 |