Mary Hitchcock Memorial Hospital

LBN: Mary Hitchcock Memorial Hospital
Mary Hitchcock Memorial Hospital is an health care organization with primary practice located at One Medical Center Dr , Lebanon NH 03756-0001. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Emergency Care, Ambulatory Health Care Facilities / Hearing and Speech, Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Air Transport, Transportation Services / Land Transport. Hospitals / General Acute Care Hospital is the primary health care specialty. Mary Hitchcock Memorial Hospital can be contacted via phone (603) 650-5000, or through Jantzen, Daniel P. via phone (603) 650-5668.

Contact Information

Primary practice address
One Medical Center Dr Lebanon NH 03756-0001
Phone: (603) 650-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jantzen, Daniel P.
Phone: (603) 650-5668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01799 New Hampshire
Ambulatory Health Care Facilities / Emergency Care 261QE0002X 01799 New Hampshire
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X 01799 New Hampshire
Hospital Units / Psychiatric Unit 273R00000X 01799 New Hampshire
Hospitals / General Acute Care Hospital 282N00000X 01799 New Hampshire
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 01799 New Hampshire
Transportation Services / Air Transport 3416A0800X 0296 New Hampshire
Transportation Services / Air Transport 3416A0800X 0920 Vermont
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1023092053
LBN Legal business name Mary Hitchcock Memorial Hospital
DBA Doing business as
Authorized official Jantzen, Daniel P.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Aug 12th, 2021 - about 3 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 1023092053 NPPES
Vermont MEDICAID 0RE2206
Vermont MEDICAID 80300003
Vermont MEDICAID 80300900
Vermont Other CD9167
Vermont MEDICAID 0300003
Vermont MEDICAID 0300900
Vermont MEDICAID 3076533
Vermont MEDICAID 30005466
Vermont Other DE1531
Vermont MEDICAID 30011095
Vermont MEDICAID 30210001

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