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Revalidation record

Monadnock Community Hospital — revalidation due 2026-08-31

past duemay be stale

NPI 1063364768 · Non-DME Part B · NH · Enrollment ID O20040625000075

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 22 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20040625000075NH855B2026-08-31
O20260512001603MA855BTBD
O20260529000619ME855BTBD
O20260612001072FL855BTBD
O20260612002984VT855BTBD
O20260616000547CA855BTBD
O20260616004408IL855BTBD
O20260623000801NJ855BTBD
O20260623003330DC855BTBD
O20260623003763AL855BTBD
O20260624002183TX855BTBD
O20260625004472PA855BTBD
O20260626000257KY855BTBD
O20260626000868MI855BTBD
O20260626001224MO855BTBD
O20260626001838NE855BTBD
O20260629004478LA855BTBD
O20260629004825AZ855BTBD
O20260630005117VA855BTBD
O20260702001688NY855BTBD
O20260708000328MN855BTBD
O20260709004923CO855BTBD
Revalidation due
2026-08-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-08-31 (59 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-08-31

Not an official CMS system. Verify before filing.

All NH revalidation dates for October 2026Where this date comes from