SPEARE MEMORIAL HOSPITAL (NPI# 1104153535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104153535 |
| Entity Type | Organization |
| Organization Name | SPEARE MEMORIAL HOSPITAL |
| Practice Address |
103 Boulder Point Drive Plymouth NH 03264-3168 |
| Mailing Address |
16 Hospital Rd Plymouth NH 03264-1126 |
| Practice Telephone | 6035361284 |
| Practice Fax Number | 6035363136 |
| Mailing Telephone | 6032382204 |
| Mailing Fax Number | 6035362034 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | MICHELLE L MCEWEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6035361120 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPEARE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1017117 | 05 | |
| NH | 3076997 | 05 | |
| NH | 30217820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297359 | Speare Memorial Hospital | Clinic/Center | 1 Ski Area Road, Waterville Valley, NH 03215 | 2006-08-25 |
| 1568480622 | Speare Memorial Hospital | Specialist | 19 Avery St, Plymouth, NH 03264-1130 | 2006-07-17 |
| 1326587635 | Speare Memorial Hospital | Clinic/Center | 71 Highland St, Plymouth, NH 03264-1233 | 2017-02-20 |
| 1861823999 | Speare Memorial Hospital | Surgery | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2013-11-27 |
| 1487943700 | Speare Memorial Hospital | Family Medicine | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2011-04-07 |
| 1346487956 | Speare Memorial Hospital | Emergency Medicine | 16 Hospital Road, Emergency Medicine, Plymouth, NH 03264 | 2009-01-20 |
| 1528213428 | Speare Memorial Hospital | Orthopaedic Surgery | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2008-11-20 |
| 1346402047 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-06-25 |
| 1164696225 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-04-18 |
| 1932378726 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPEARE MEMORIAL HOSPITAL | 16 Hospital Rd, Plymouth, NH 03264-1126 |
| Street Address |
103 BOULDER POINT DRIVE |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053377143 | John Stewart Richards | Ophthalmology | 103 Boulder Point Drive, Plymouth, NH 03264-3156 | 2006-04-26 |
| 1841342540 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264 | 2007-01-16 |
| 1063579886 | Paul S Musco | Ophthalmology | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2007-01-02 |
| 1386704039 | Michael B Watto | Family Medicine | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2006-12-11 |
| 1902982903 | Anne M. Thatcher | Nurse Practitioner | 103 Boulder Point Drive, Speare Primary Care, Plymouth, NH 03264 | 2006-10-31 |
| 1801814611 | Victor Gennaro | Orthopaedic Surgery | 103 Boulder Point Drive, Plymouth Orthopedics and Sports Medicine Clinic, Plymouth, NH 03264-3428 | 2006-07-18 |
| 1871522425 | Dana A Merrithew | Internal Medicine | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| 1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
| 1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
| 1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
| 1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
| 1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
| 1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
| 1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
| Find all providers in zip 03264 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831467653 | Sutter Valley Medical Foundation | Clinic/Center | 9279 Locust Street, Plymouth, CA 95669 | 2011-12-07 |
| 1811502818 | Centennial Housing & Community Services Corporation | Clinic/Center | 795 Us Highway 64 E, Plymouth, NC 27962-9314 | 2020-09-15 |
| 1427682640 | Williamston Hospital Corporation | Clinic/Center | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2020-02-26 |
| 1326587635 | Speare Memorial Hospital | Clinic/Center | 71 Highland St, Plymouth, NH 03264-1233 | 2017-02-20 |
| 1962650762 | Cah Acquisition Company 1 LLC | Clinic/Center | 1006 Us Highway 64 E, Plymouth, NC 27962 | 2008-09-04 |
| 1720290794 | Cah Acquisition Company # 1 | Clinic/Center | 1006 Us Hwy 64 East, Plymouth, NC 27962-9215 | 2007-05-04 |
| 1437291515 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2007-02-13 |
| 1841342540 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264 | 2007-01-16 |
| 1821038837 | Cah Acquisition Company 1 LLC | Clinic/Center | 1006 Us Highway 64 E, Plymouth, NC 27962-9215 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932624624 | Memorial Hospital | Clinic/Center | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2017-08-03 |
| 1235483520 | Monadnock Community Hospital | Clinic/Center | 12 Elm St, Antrim, NH 03440-3916 | 2012-11-08 |
| 1275857328 | Cottage Hospital | Clinic/Center | 103 Swiftwater Rd, Woodsville, NH 03785-1423 | 2010-03-18 |
| 1619169208 | Springfield Hospital | Clinic/Center | 125 Main Street, Charlestown, NH 03603-1118 | 2007-08-16 |
| 1689764912 | Lrghealthcare | Clinic/Center | 15 Aiken Ave, Franklin, NH 03235-1259 | 2006-10-16 |
| 1023108354 | Lrghealthcare | Clinic/Center | 5 School St, Bristol, NH 03222-3263 | 2006-10-16 |
Please comment or provide details below to improve the information on SPEARE MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.