SPEARE MEMORIAL HOSPITAL (NPI# 1932378726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932378726 |
| Entity Type | Organization |
| Organization Name | SPEARE MEMORIAL HOSPITAL |
| Other Organization Name | SPEARE MEMORIAL SCHOOL DENTAL HEALTH DENTISTS |
| Practice Address |
16 Hospital Rd Plymouth NH 03264-1126 |
| Practice Telephone | 6035361120 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | MR. PETER G. KRITIKOS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6032382218 |
| Authorized Official Credential | C.F.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | SPEARE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30212045 | 05 |
| Other Name | Type Code |
|---|---|
| Speare Memorial School Dental Health Dentists | 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 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1326670886 | Plymouth Ardent | Clinic/Center | 40400 Ann Arbor Rd E Ste 103, Plymouth, MI 48170-4590 | 2020-02-12 |
| 1427695063 | Beacon Dental Health PC | Clinic/Center | 1 Scobee Cir # 2a, Plymouth, MA 02360-4887 | 2019-12-03 |
| 1952965949 | Minnesota Sleep and Wellness LLC | Clinic/Center | 15600 36th Ave N Ste 270a, Plymouth, MN 55446-3369 | 2019-04-25 |
| 1134611122 | Chad W. Barber, Dds, PC | Clinic/Center | 9331 N Lilley Rd, Plymouth, MI 48170-4609 | 2018-06-05 |
| 1194215616 | Four Seasons Dental Pa | Clinic/Center | 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441-1702 | 2018-05-10 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1053834481 | Mondale Dental | Clinic/Center | 10600 Old County Road 15 Ste 120, Plymouth, MN 55441-6205 | 2017-07-18 |
| 1902060213 | Thomas F. Rogers, D.d.s., P.C. | Clinic/Center | 141 Court St, Plymouth, MA 02360-3807 | 2008-07-16 |
| 1093939712 | Frank Gatyas,d.d.s.,s.c. | Clinic/Center | 623 E Mill St, Plymouth, WI 53073-1944 | 2007-04-12 |
| Find all providers in PLYMOUTH | ||||
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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.