Extended Care Facility

LBN: Alice Peck Day Memorial Hospital-Ecu
Extended Care Facility is an health care organization with primary practice located at 125 Mascoma St , Lebanon NH 03766-2647. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Alice Peck Day Memorial Hospital-Ecu can be contacted via phone (603) 448-3121, or through Dorman, Harry G via phone (603) 448-3121.

Contact Information

Primary practice address
125 Mascoma St Lebanon NH 03766-2647
Phone: (603) 448-3121
Fax: (603) 448-7462
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Harry G
Phone: (603) 448-3121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0016A New Hampshire
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0016A New Hampshire
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0016A New Hampshire

Profile Details

NPI number 1043207566
LBN Legal business name Alice Peck Day Memorial Hospital-Ecu
DBA Doing business as Extended Care Facility
Authorized official Dorman, Harry G
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2005
Last updated Feb 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043207566 NPPES
New Hampshire MEDICAID 80305033
New Hampshire MEDICAID 0305033

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