Provider Type Icon

DARTMOUTH-HITCHCOCK CLINIC NPI 1386697803


NPI Information

NPI: 1386697803
Provider Name: DARTMOUTH-HITCHCOCK CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 30D2003773

Address:
100 HITCHCOCK WAY
MANCHESTER, NH
ZIP 03104
Phone: (603) 695-2500
Get Directions

DARTMOUTH-HITCHCOCK CLINIC is a family medicine in Manchester, NH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DARTMOUTH-HITCHCOCK CLINIC NPI is 1386697803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 HITCHCOCK WAY
MANCHESTER, NH
ZIP 03104-125
Phone: (603) 695-2500

The provider's authorized official is Barbara E Moore .
The authorized official title is Director,billing Operations and has the following contact phone number (603) 653-2010.

The CLIA number assigned to this NPI record is 30D2003773 - ancillary test site with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/19/2015.


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
1207RH0003XInternal MedicineHematology & OncologyNo
2207RR0500XInternal MedicineRheumatologyNo
3207V00000XObstetrics & GynecologyNo
4207X00000XOrthopaedic SurgeryNo
5207Y00000XOtolaryngologyNo
6208000000XPediatricsNo
72080P0202XPediatricsPediatric CardiologyNo
8261QA1903XClinic/CenterAmbulatory Surgical02552NEW HAMPSHIRENo
9261QR0200XClinic/CenterRadiologyNo
10207K00000XAllergy & ImmunologyNo
11207N00000XDermatologyNo
12207R00000XInternal MedicineNo
13207RC0000XInternal MedicineCardiovascular DiseaseNo
14207RG0100XInternal MedicineGastroenterologyNo
15207Q00000XFamily MedicineYes

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
1301014MEDICARE PINNEW HAMPSHIRE
2CA4893OTHERNEW HAMPSHIRERAILROAD MEDICARE
3CA6501OTHERNEW HAMPSHIRERAILROAD
4CA9427OTHERNEW HAMPSHIRERAILROAD MEDICARE
5CE1581OTHERNEW HAMPSHIRERAILROAD MEDICARE
6DC7903OTHERNEW HAMPSHIRERAILROAD
7CC1439OTHERNEW HAMPSHIRERAILROAD MEDICARE
8CN1486OTHERNEW HAMPSHIRERAILROAD MEDICARE
9CN3827OTHERNEW HAMPSHIRERAILROAD MEDICARE
100000821MEDICAIDVERMONT
11CA0032OTHERNEW HAMPSHIRERAILROAD MEDICARE
12CA5006OTHERNEW HAMPSHIRERAILROAD MEDICARE
133080894MEDICAIDNEW HAMPSHIRE
140565280004MEDICARE NSCNEW HAMPSHIRE
15NH9592MEDICARE PINNEW HAMPSHIRE
16CB9189OTHERNEW HAMPSHIRERAILROAD MEDICARE
173080411MEDICAIDNEW HAMPSHIRE
18CA5651OTHERNEW HAMPSHIRERAILROAD MEDICARE
19VT9589MEDICARE PINVERMONT
20DE5051OTHERNEW HAMPSHIRERAILROAD MEDICARE
213081001MEDICAIDNEW 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

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.