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ALICE PECK DAY MEMORIAL HOSPITAL NPI 1003803495


NPI Information

NPI: 1003803495
Provider Name: ALICE PECK DAY MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 30D0086647

Address:
10 ALICE PECK DAY DR
LEBANON, NH
ZIP 03766
Phone: (603) 448-3121
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ALICE PECK DAY MEMORIAL HOSPITAL is a critical access general acute care hospital in Lebanon, NH. ALICE PECK DAY MEMORIAL HOSPITAL NPI is 1003803495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 ALICE PECK DAY DR
LEBANON, NH
ZIP 03766-647
Phone: (603) 448-3121
Fax: (603) 448-7462

The provider's authorized official is Susan E Mooney .
The authorized official title is Ceo/president and has the following contact phone number (603) 448-3121.

The CLIA number assigned to this NPI record is 30D0086647 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 1/30/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2207PE0004XEmergency MedicineEmergency Medical ServicesNo
3207Q00000XFamily MedicineNo
4207X00000XOrthopaedic SurgeryNo
5208M00000XHospitalistNo
6207R00000XInternal MedicineNo
7207VX0201XObstetrics & GynecologyGynecologic OncologyNo
8282NC0060XGeneral Acute Care HospitalCritical Access00016NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
180300016MEDICAIDNEW HAMPSHIRE
20009582MEDICAIDVERMONT
30300016MEDICAIDVERMONT
430002661MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.