ALICE PECK DAY MEMORIAL HOSPITAL (NPI# 1417407388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417407388 |
| Entity Type | Organization |
| Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Other Organization Name | UPPER VALLEY SMILES |
| Practice Address |
10 Alice Peck Day Dr Lebanon NH 03766-2900 |
| Practice Telephone | 6034439548 |
| Practice Fax Number | 6034425144 |
| Mailing Telephone | 6034483121 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | SUSAN E MOONEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 6034425672 |
| Authorized Official Credential | M.D., M.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | ALICE PECK DAY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
1021-V | NH | Dental Providers |
| Other Name | Type Code |
|---|---|
| Upper Valley Smiles | 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 |
| 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 |
| 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 | 03766-2900 |
| 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 |
| 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 |
| 1346456043 | Alice Peck Day Memorial Hospital | Medicare Defined Swing Bed Unit | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-16 |
| 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 | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407961063 | Thomas Shealy IIi | Dentist | 2 Raeder Drive, Stratham, NH 03885 | 2006-08-21 |
| 1063485654 | Jay Allan Nesvold | Dentist | 278 Lafayette Road, Bldg E, Portsmouth, NH 03801-5455 | 2006-02-13 |
| 1922233766 | Tri-county Community Action Program | Dentist | 448 White Mountain Hwy, Tamworth, NH 03886-4626 | 2009-05-22 |
| 1093959595 | Jennie P Carcaud-hennigar | Dentist | 448 White Mountain Hwy, Dental Center, Tamworth, NH 03886-4626 | 2009-04-28 |
| 1134240195 | North Country Health Consortium | Dentist | 262 Cottage St, Suite 230, Littleton, NH 03561-4146 | 2007-04-03 |
| 1194733691 | Catholic Medical Center | Dentist | 100 Mcgregor St, Poisson Dental Facility, Manchester, NH 03102-3730 | 2006-08-03 |
| 1699789651 | Salem Family Dental PC | Dentist | 220 Main St, Salem Family Dental, Salem, NH 03079 | 2006-07-27 |
| 1780626028 | Leslie L Whone | Dentist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2006-06-12 |
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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.