WENTWORTH DOUGLASS HOSPITAL NPI 1366929440

NPI Information

NPI: 1366929440
Provider Name: WENTWORTH DOUGLASS HOSPITAL
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 30D2077188

Address:
701B CENTRAL AVE
DOVER, NH
ZIP 03820
Phone: (603) 609-6700
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WENTWORTH DOUGLASS HOSPITAL is an urgent care clinic center in Dover, NH. WENTWORTH DOUGLASS HOSPITAL NPI is 1366929440. The provider is registered as an organization entity type.

The provider's business location address is:

701B CENTRAL AVE
DOVER, NH
ZIP 03820-403
Phone: (603) 609-6700

The provider's authorized official is Trisha Gagnon .
The authorized official title is Dir.revenue Cycle Operations and has the following contact phone number (603) 742-5252.

The CLIA number assigned to this NPI record is 30D2077188 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/23/2018 and was last updated on 5/17/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3074430	MEDICAID	NEW 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: 11/14/2023

NPI Synchronization or Removal

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