Organization · NPI-2

Mary Hitchcock Memorial Hospital

General Acute Care Hospital · Lebanon, NH

NPI number1023092053
StatusActive
Last updated in NPPESAug 31, 2026

Details

NPI
1023092053
Entity type
Organization (NPI-2)
Legal business name
Mary Hitchcock Memorial Hospital
Organization subpart
No
Enumeration date
Dec 2, 2005
Certification date
Aug 31, 2026
Last updated
Aug 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital01799NHYes
207R00000X Internal Medicine01799NH
261QE0002X Clinic/Center, Emergency Care01799NH
261QH0700X Clinic/Center, Hearing and Speech01799NH
273R00000X Psychiatric Unit01799NH
332B00000X Durable Medical Equipment & Medical Supplies01799NH
3416A0800X Ambulance, Air Transport0296NH
3416A0800X Ambulance, Air Transport0920VT
3416L0300X Ambulance, Land Transport––

Practice location

One Medical Center Dr
Lebanon, NH 03756-0001

Phone 603-650-5000

Mailing address

Po Box 419112
Boston, MA 02241-9112

Phone 603-650-5000

Authorized official

Daniel P. Jantzen
Chief Financial Officer
6036505668

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