ALICE PECK DAY MEMORIAL HOSPITAL (NPI# 1295805950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295805950 |
| Entity Type | Organization |
| Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Other Organization Name | EMERGENCY SERVICES AT ALICE PECK DAY |
| Practice Address |
10 Alice Peck Day Dr Lebanon NH 03766-2647 |
| Practice Telephone | 6034487448 |
| Practice Fax Number | 6034439516 |
| Mailing Telephone | 6034483121 |
| Mailing Fax Number | 6034487462 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | SUSAN E MOONEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 6034483121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
00016 | NH | Hospitals |
| Y | 208D00000X | General Practice | 00016 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30002661 | 05 | |
| VT | 0009582 | 05 |
| Other Name | Type Code |
|---|---|
| Emergency Services at Alice Peck Day | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942691829 | Alice Peck Day Memorial Hospital | Podiatrist | 20 W Park St Ste 320, Lebanon, NH 03766-1322 | 2015-02-12 |
| 1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
| 1831490309 | Alice Peck Day Memorial Hospital | Orthopaedic Surgery | 205 Billings Farm Rd, Suite 3a, White River Junction, VT 05001-5400 | 2010-11-15 |
| 1649581232 | Alice Peck Day Memorial Hospital | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2010-06-29 |
| 1346456043 | Alice Peck Day Memorial Hospital | Medicare Defined Swing Bed Unit | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-16 |
| 1891908919 | Alice Peck Day Memorial Hospital | Pharmacy | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-07 |
| 1093761892 | Alice Peck Day Memorial Hospital | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766 | 2006-05-25 |
| 1073569810 | Alice Peck Day Memorial Hospital | Family Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2006-05-25 |
| 1003803495 | Alice Peck Day Memorial Hospital | Counselor | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2005-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALICE PECK DAY MEMORIAL HOSPITAL | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 |
| Street Address |
10 ALICE PECK DAY DR |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429799 | Christopher Mazur | Emergency Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2694 | 2005-09-30 |
| 1033683909 | Erika Argersinger | Physician Assistant | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2019-01-14 |
| 1033692850 | Alexa Ruppert Holleran | Nurse Practitioner | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2018-09-07 |
| 1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
| 1780137802 | Mascoma Street Inpatient Services LLC | Hospitalist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1285187336 | Upper Valley Emergency Physicians LLC | Emergency Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1689024192 | Casey Kelly | Counselor | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-06-15 |
| 1073990669 | Samuel James Ogden | Pediatrics | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2015-05-03 |
| 1194159210 | Brittany V Teune | Physical Therapist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2013-08-26 |
| 1639457732 | Yasolatha Chalicheemala | Internal Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2011-07-25 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1043205008 | Thomas A Kowal | General Practice | 228 W Main St Ste B, Lebanon, TN 37087-2681 | 2005-09-15 |
| 1861993263 | Healthcare for Kids & Teens, Pllc | General Practice | 54 Miller Pike, Lebanon, KY 40033-9248 | 2018-02-22 |
| 1114451267 | Morgan Cameron Wimmer | General Practice | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2017-04-16 |
| 1619137825 | James Chad Greene | General Practice | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2008-06-11 |
| 1932392289 | Morris Dean Ferguson | General Practice | 500 Park Ave, Lebanon, TN 37087-3721 | 2007-08-21 |
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| 1750865093 | Motivated Health Choices, Pllc | General Practice | 134 Newton Rd Unit 11, Plaistow, NH 03865-2419 | 2018-09-22 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1164835229 | Loren Blake | General Practice | 213 Winding Pond Rd, Londonderry, NH 03053-3378 | 2014-06-06 |
| 1225351042 | Lisa Ann Jacobs | General Practice | 251 Sunset Rd., Fitzwilliam, NH 03447 | 2010-03-08 |
| 1114169125 | Michelle Frances Lackovic | General Practice | 131 Morningside Ln, Charlestown, NH 03603-4210 | 2009-04-06 |
| 1811906027 | Denrick Leo Crespi | General Practice | 167 South River Road, Suite C, Bedford, NH 03110-6931 | 2006-08-05 |
| 1386673952 | Indian Stream Health Center, Inc | General Practice | 141 Corliss Lane, Colebrook, NH 03576 | 2006-07-03 |
| 1134116981 | County of Strafford | General Practice | 276 County Farm Rd, Dover, NH 03820-6003 | 2005-10-05 |
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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.