THE MEMORIAL HOSPITAL (NPI# 1629060926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629060926 |
| Entity Type | Organization |
| Organization Name | THE MEMORIAL HOSPITAL |
| Other Organization Name | MWV HEALTHCARE |
| Practice Address |
3073 White Mountain Hwy North Conway NH 03860-5111 |
| Mailing Address |
3073 White Mountain Hwy North Conway NH 03860-7101 |
| Practice Telephone | 6033565472 |
| Mailing Telephone | 6033565472 |
| Mailing Fax Number | 6033569647 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | DIANA J MCLAUGHLIN (SENIOR DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6033560613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MWV Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101566 | The Memorial Hospital | Pharmacy | 9900 W M 21 Ste 103, Ovid, MI 48866-9798 | 2019-02-25 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1477857944 | The Memorial Hospital | Clinic/Center | 7200 Woodbury Rd, Laingsburg, MI 48848-8799 | 2010-12-27 |
| 1063418424 | The Memorial Hospital | Skilled Nursing Facility | 750 Hospital Loop, Craig, CO 81625 | 2005-06-21 |
| 1396139507 | The Memorial Hospital | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2015-03-25 |
| 1992000103 | The Memorial Hospital | Internal Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2011-01-19 |
| 1366421141 | The Memorial Hospital | Obstetrics & Gynecology | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2006-01-11 |
| 1619968849 | The Memorial Hospital | Orthopaedic Surgery | 3073 White Mountain Hwy, North Conway, NH 03860-5111 | 2005-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | THE MEMORIAL HOSPITAL | 111 Brewster St., Pawtucket, RI 02860 |
| Street Address |
3073 WHITE MOUNTAIN HWY |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647120 | Linda J Barton | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2020-04-02 |
| 1649826413 | Cynthia Hellstein Walsh | Occupational Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-08-16 |
| 1134781602 | Nicole M Veilleux | Advanced Practice Midwife | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-07-03 |
| 1952962979 | Michelle Renee Mattei | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-21 |
| 1689234700 | Adam Scheletsky | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-20 |
| 1053970202 | Marla A Browning | Speech-Language Pathologist | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-06-11 |
| 1124683594 | Melanie Glavin | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-05-01 |
| 1215497631 | Kathryn Villarevia | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-03-21 |
| 1003384488 | Austin Creer | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-11-05 |
| 1235638057 | Jodi Tracy | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992000103 | The Memorial Hospital | Internal Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2011-01-19 |
| 1316925415 | William E. Dudley II | Internal Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-5111 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058919 | Dylan Thomas | Internal Medicine | 10 Members Way Ste 400, Dover, NH 03820 | 2013-03-28 |
| 1144560483 | Robert C. Kolodny | Internal Medicine | 57 The Flume, Amherst, NH 03031-1520 | 2013-02-24 |
| 1265598452 | George Nield Mercer | Internal Medicine | 11 Willow Spring Cir, Hanover, NH 03755-2901 | 2006-12-29 |
| 1487617262 | Margarita Rosa Ochoa-maya | Internal Medicine | 196 Bridge St, Suite 103, Manchester, NH 03104-4953 | 2006-04-11 |
| 1407231525 | Nneka Iroka | Internal Medicine | 1 Elliot Way, Manchester, NH 03103-3502 | 2015-07-30 |
| 1396187787 | Sanaa S Ayyoub | Internal Medicine | 100 Hitchcock Way, Dartmouth Hitchcock - Endocrinology, Manchester, NH 03104 | 2013-07-25 |
| 1861836116 | Michelle June Campbell | Internal Medicine | 1 Elliot Way, Manchester, NH 03103-3502 | 2013-04-17 |
| 1619247111 | Thyroid Center of New Hampshire PC | Internal Medicine | 5 Coliseum Ave, Nashua, NH 03063-3206 | 2011-12-31 |
| 1699070995 | Advanced Health and Wellbeing | Internal Medicine | 196 Bridge St, Suite 103, Manchester, NH 03104-4953 | 2011-01-18 |
| 1073832564 | Sreenija Suryadevara | Internal Medicine | 1 Medical Center Dr, Dh Endocrinology, Lebanon, NH 03756-1000 | 2010-05-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
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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.