DARTMOUTH-HITCHCOCK CLINIC (NPI# 1124681846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124681846 |
| Entity Type | Organization |
| Organization Name | DARTMOUTH-HITCHCOCK CLINIC |
| Other Organization Name | THE DOORWAY AT DARTMOUTH-HITCHCOCK LEBANON |
| Practice Address |
85 Mechanic St Ste B3-1 Lebanon NH 03766-1537 |
| Mailing Address |
Po Box 810 Hanover NH 03755-0810 |
| Practice Telephone | 6036531860 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | DANIEL P JANTZEN (CFO) |
| Authorized Official Telephone | 6036505634 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Doorway at Dartmouth-Hitchcock Lebanon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176861 | Dartmouth-hitchcock Clinic | Clinic/Center | 24 Railroad St, Keene, NH 03431-3744 | 2019-07-22 |
| 1508946732 | Dartmouth-hitchcock Clinic | Dermatology | 9 Belmont Ave, Brattleboro, VT 05301-6613 | 2006-10-16 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1417579277 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 5 Washington Pl, Bedford, NH 03110-6736 | 2020-05-14 |
| 1477175412 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2020-05-13 |
| 1235751280 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 253 Pleasant St, Concord, NH 03301-7560 | 2020-05-13 |
| 1710509765 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 25 S River Rd, Bedford, NH 03110-6715 | 2020-05-13 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1205343175 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 149 Emerald St, Keene, NH 03431-3611 | 2018-01-02 |
| 1619482445 | Dartmouth-hitchcock Clinic | Internal Medicine | 149 Emerald St, Keene, NH 03431-3611 | 2017-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | DARTMOUTH-HITCHCOCK CLINIC CORPORATION | One Medical Center Dr, Lebanan, NH 03756 |
| Street Address |
85 MECHANIC ST STE B3-1 |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783194 | First Step Medical LLC | Clinic/Center | 754 East Main St., Lebanon, VA 24266-5014 | 2019-04-25 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1427329804 | Highpower, PC | Clinic/Center | 122 Price St, Lebanon, VA 24266-7122 | 2012-01-18 |
| 1275756256 | White Deer Run LLC | Clinic/Center | 240 S 8th St, Lebanon, PA 17042-6010 | 2007-04-10 |
| 1891761250 | Community Mental Health Center of Clinton County | Clinic/Center | 975 Fujitec Bldg A, Suite 1, Lebanon, OH 45036 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015788 | Ryan Gagne | Clinic/Center | 881 Marlboro Rd, Keene, NH 03431-5617 | 2020-02-18 |
| 1174176861 | Dartmouth-hitchcock Clinic | Clinic/Center | 24 Railroad St, Keene, NH 03431-3744 | 2019-07-22 |
| 1811383276 | Life Services for Recovery, LLC | Clinic/Center | 491 Amherst St Unit 105, Nashua, NH 03063-1259 | 2015-04-13 |
| 1447649538 | Steps Opioid Addiction Treatment | Clinic/Center | 575 South Willow St, Suite 208, Manchester, NH 03103 | 2015-01-13 |
| 1134745284 | Concentric Counseling, Pllc | Clinic/Center | 4 Bicentennial Sq Unit 2b, Concord, NH 03301-4069 | 2020-06-24 |
| 1598302523 | Melyssa Manock, Msw, Mladc, LLC | Clinic/Center | 6 Chenell Dr, Concord, NH 03301-8514 | 2019-12-10 |
| 1881257590 | Cheshire Medical Center | Clinic/Center | 640 Marlboro St, Keene, NH 03431-4049 | 2019-04-18 |
| 1396251229 | Crossroads Recovery Center | Clinic/Center | 155 Main St, Salem, NH 03079-3196 | 2017-12-14 |
| 1457883779 | Destinations Wellness, LLC. | Clinic/Center | 33 Main St, Suite 501, Nashua, NH 03064-2776 | 2017-03-28 |
| 1982081154 | Bonfire Behavioral Health | Clinic/Center | 10 Grove St, Dover, NH 03820-3334 | 2015-04-27 |
| Find all providers with the same taxonomy | ||||
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| 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.