SPEARE MEMORIAL HOSPITAL (NPI# 1861823999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861823999 |
| Entity Type | Organization |
| Organization Name | SPEARE MEMORIAL HOSPITAL |
| Other Organization Name | WOUND CARE & HYPERBARIC MEDICINE CENTER |
| Practice Address |
16 Hospital Rd Plymouth NH 03264-1126 |
| Practice Telephone | 6035361120 |
| Practice Fax Number | 6035364828 |
| Mailing Telephone | 6035361120 |
| Mailing Fax Number | 6035364828 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-12-11 |
| Authorized Official Name | MICHELLE L. MCEWEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6035361120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 01300 | NH | Allopathic & Osteopathic Physicians |
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
01300 | NH | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Wound Care & Hyperbaric Medicine Center | 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 |
| 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 |
| 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 |
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 |
| 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 |
| 1447561352 | Janette E Gaumer | Dietitian, Registered | 16 Hospital Rd, Speare Memorial Hospital - Dietary Services, Plymouth, NH 03264-1126 | 2010-06-24 |
| 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 | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547268 | Susan Marie Dionne | Registered Nurse | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-09-21 |
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.