ALICE PECK DAY MEMORIAL HOSPITAL (NPI# 1346456043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346456043 |
Entity Type | Organization |
Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
Other Organization Name | SWING UNIT AT ALICE PECK DAY |
Practice Address |
10 Alice Peck Day Dr Lebanon NH 03766-2647 |
Practice Telephone | 6034483121 |
Practice Fax Number | 6034487462 |
Mailing Telephone | 6034483121 |
Mailing Fax Number | 6034487462 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2019-03-25 |
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 | 275N00000X | Medicare Defined Swing Bed Unit | 00016 | NH | Hospital Units |
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
Other Name | Type Code |
---|---|
Swing Unit 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 |
1891908919 | Alice Peck Day Memorial Hospital | Pharmacy | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-07 |
1295805950 | Alice Peck Day Memorial Hospital | General Practice | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2006-11-09 |
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 |
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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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
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---|---|---|---|---|
1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
1841526274 | Samaritan Lebanon Community Hospital | General Acute Care Hospital | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2009-10-20 |
1790928125 | Samaritan Lebanon Community Hospital | General Acute Care Hospital | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2009-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013235449 | Littleton Regional Hospital | General Acute Care Hospital | 12 Mollybrook Dr, Stark, NH 03582-6108 | 2010-05-10 |
1518094663 | Huggins Hospital | General Acute Care Hospital | 240 South Main St, Wolfeboro, NH 03894-0912 | 2007-02-27 |
1528162799 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-2001 | 2006-09-11 |
1871534792 | Huggins Hospital | General Acute Care Hospital | 27 New Durham Road, Alton, NH 03809 | 2006-06-10 |
1861489437 | Upper Connecticut Valley Hospital Association | General Acute Care Hospital | 181 Corliss Lane, Colebrook, NH 03576 | 2005-09-29 |
1144223702 | Littleton Hospital Association | General Acute Care Hospital | 600 St Johnsbury Rd, Littleton, NH 03561 | 2005-05-27 |
1003320995 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-1421 | 2017-11-30 |
1811401656 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-1421 | 2017-11-30 |
1841655677 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Road, Woodsville, NH 03785-2001 | 2015-12-21 |
1720416605 | Cottage Hospital | General Acute Care Hospital | 90 Swiftwater Rd, Woodsville, NH 03785-1421 | 2013-10-31 |
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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.