SPEARE MEMORIAL HOSPITAL (NPI# 1760496376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760496376 |
| Entity Type | Organization |
| Organization Name | SPEARE MEMORIAL HOSPITAL |
| Practice Address |
16 Hospital Rd Plymouth NH 03264-1126 |
| Practice Telephone | 6035361120 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | MICHELLE L. MCEWEN (PRESIDENT/CFO) |
| Authorized Official Telephone | 6032382231 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPEARE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 8300010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297359 | Speare Memorial Hospital | Clinic/Center | 1 Ski Area Road, Waterville Valley, NH 03215 | 2006-08-25 |
| 1568480622 | Speare Memorial Hospital | Specialist | 19 Avery St, Plymouth, NH 03264-1130 | 2006-07-17 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPEARE MEMORIAL HOSPITAL | 16 Hospital Rd, Plymouth, NH 03264-1126 |
| Street Address |
16 HOSPITAL RD |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735736 | Terrance Dean Copsey | Nurse Anesthetist, Certified Registered | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2005-07-27 |
| 1073071528 | Ryanne Marie Haskell | Dietitian, Registered | 16 Hospital Rd, Plymouth, NH 03264-1199 | 2019-03-04 |
| 1063915684 | Ann G Petersson | Dietitian, Registered | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2018-03-09 |
| 1861916967 | Kevin Bradley Botelho | Nurse Practitioner | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2017-07-31 |
| 1609265065 | Rudolph Pavlesich IIi | Nurse Practitioner | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2015-01-22 |
| 1861823999 | Speare Memorial Hospital | Surgery | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2013-11-27 |
| 1740626639 | Lauren Michelle Blue | Obstetrics & Gynecology | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2013-05-17 |
| 1215275219 | Ruth Alexander Doane | Dental Hygienist | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2013-01-25 |
| 1487943700 | Speare Memorial Hospital | Family Medicine | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2011-04-07 |
| 1114237187 | Speare Memorial Hosp Phcy Dept | Pharmacy | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2010-10-08 |
| Find all providers in the same location | ||||
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| 1972119782 | Centennial Housing & Community Services Corporation | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
| 1730197765 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2006-08-04 |
| 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.