SPEARE MEMORIAL HOSPITAL (NPI# 1568480622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568480622 |
| Entity Type | Organization |
| Organization Name | SPEARE MEMORIAL HOSPITAL |
| Other Organization Name | TENNEY MOUNTAIN ORTHOPEDICS CLINIC |
| Practice Address |
19 Avery St Plymouth NH 03264-1130 |
| Mailing Address |
Po Box 32 Andover NH 03216-0032 |
| Practice Telephone | 6035365803 |
| Mailing Telephone | 6037356060 |
| Mailing Fax Number | 6037356070 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PETER KRITIKOS (CFO) |
| Authorized Official Telephone | 6035361120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9435 | NH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | ANTHEM | 52028603 | 01 |
| NH | TUFTS | 758313 | 01 |
| NH | CIGNA | 2874405 | 01 |
| NH | RAILROAD MEDICARE | CG6192 | 01 |
| NH | 30211268 | 05 |
| Other Name | Type Code |
|---|---|
| TENNEY MOUNTAIN ORTHOPEDICS CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297359 | Speare Memorial Hospital | Clinic/Center | 1 Ski Area Road, Waterville Valley, NH 03215 | 2006-08-25 |
| 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 |
| 1104153535 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2009-11-05 |
| 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 |
19 AVERY ST |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264-1130 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1194977447 | Lokeh Plastic Surgery Pa | Specialist | 15535 34th Ave N # 100, Plymouth, MN 55447-1481 | 2008-10-17 |
| 1346402310 | Paul S Richelson | Specialist | 7 Town West Rd, Plymouth, NH 03264-3428 | 2008-06-30 |
| 1679753305 | Jeffrey Zorn | Specialist | 47 White Trellis, Plymouth, MA 02360-7789 | 2007-11-09 |
| 1841488541 | Tenney Mountain Internal Medicine | Specialist | 251 Mayhew Tpke, Plymouth, NH 03264-3026 | 2007-10-09 |
| 1982899688 | Family Home Physicians LLC | Specialist | 801 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-1694 | 2007-09-06 |
| 1134320203 | Alan R. Murphy, M.d.,p.c. | Specialist | 17 Muirfield Rd, Plymouth, MA 02360 | 2007-05-29 |
| 1669598454 | Susan Christie Krupin-carter | Specialist | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2007-03-22 |
| 1487787016 | Northstar Radiology Corporation Pa | Specialist | 36 Nathan Lane N, Plymouth, MN 55441 | 2007-03-13 |
| 1568599207 | Elsa Boayes Horn | Specialist | W9071 Forest Drive, Plymouth, WI 53073-0031 | 2007-02-28 |
| Find all providers in PLYMOUTH | ||||
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.