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MARY HITCHCOCK MEMORIAL HOSPITAL NPI 1023092053


NPI Information

NPI: 1023092053
Provider Name: MARY HITCHCOCK MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 30D0652833

Address:
ONE MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 650-5000
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MARY HITCHCOCK MEMORIAL HOSPITAL is a general acute care hospital in Lebanon, NH. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MARY HITCHCOCK MEMORIAL HOSPITAL NPI is 1023092053. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

ONE MEDICAL CENTER DR
LEBANON, NH
ZIP 03756-001
Phone: (603) 650-5000

The provider's authorized official is Daniel P. Jantzen .
The authorized official title is Chief Financial Officer and has the following contact phone number (603) 650-5668.

The CLIA number assigned to this NPI record is 30D0652833 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 8/12/2021.


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
1207R00000XInternal Medicine01799NEW HAMPSHIRENo
2261QE0002XClinic/CenterEmergency Care01799NEW HAMPSHIRENo
3261QH0700XClinic/CenterHearing and Speech01799NEW HAMPSHIRENo
4273R00000XPsychiatric Unit01799NEW HAMPSHIRENo
5332B00000XDurable Medical Equipment & Medical Supplies01799NEW HAMPSHIRENo
63416A0800XAmbulanceAir Transport0296NEW HAMPSHIRENo
73416A0800XAmbulanceAir Transport0920VERMONTNo
83416L0300XAmbulanceLand TransportNo
9282N00000XGeneral Acute Care Hospital01799NEW 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
130011095MEDICAIDNEW HAMPSHIRE
230005466MEDICAIDNEW HAMPSHIRE
380300003MEDICAIDNEW HAMPSHIRE
480300900MEDICAIDNEW HAMPSHIRE
50300003MEDICAIDVERMONT
60300900MEDICAIDVERMONT
730210001MEDICAIDNEW HAMPSHIRE
8CD9167OTHERNEW HAMPSHIRERAILROAD MEDICARE
93076533MEDICAIDNEW HAMPSHIRE
100RE2206MEDICAIDVERMONT
11DE1531OTHERVERMONTRAILROAD MEDICARE

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.