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DARTMOUTH-HITCHCOCK CLINIC NPI 1548210198


NPI Information

NPI: 1548210198
Provider Name: DARTMOUTH-HITCHCOCK CLINIC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 30D2013207

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

DARTMOUTH-HITCHCOCK CLINIC is an internal medicine in Lebanon, NH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DARTMOUTH-HITCHCOCK CLINIC NPI is 1548210198. 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 30D2013207 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 12/19/2018.


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
1208000000XPediatricsNo
22085R0202XRadiologyDiagnostic RadiologyNo
3208600000XSurgeryNo
4261QA1903XClinic/CenterAmbulatory Surgical02552NEW HAMPSHIRENo
5261QD0000XClinic/CenterDentalNo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
7207L00000XAnesthesiologyNo
8207P00000XEmergency MedicineNo
9207RC0000XInternal MedicineCardiovascular DiseaseNo
10207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
11207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
12207RG0100XInternal MedicineGastroenterologyNo
13207RH0003XInternal MedicineHematology & OncologyNo
14207V00000XObstetrics & GynecologyNo
15207R00000XInternal 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
1CB8692OTHERVERMONTRAILROAD MEDICARE
243700520MEDICAIDNEW HAMPSHIRE
3CA0032OTHERNEW HAMPSHIRERAILROAD MEDICARE
40009590MEDICAIDVERMONT
53079670MEDICAIDNEW 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

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