Organization · NPI-2

Alice Peck Day Memorial Hospital

Family Medicine · Lebanon, NH

NPI number1073569810

StatusActive

Last updated in NPPESApr 25, 2013

Details

NPI: 1073569810
Entity type: Organization (NPI-2)
Legal business name: Alice Peck Day Memorial Hospital
Organization subpart: Yes
Enumeration date: May 25, 2006
Last updated: Apr 25, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	00016	NH	Yes
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–
208M00000X	Hospitalist	–	–
207X00000X	Orthopaedic Surgery	–	–
208VP0000X		–	–
2083X0100X	Preventive Medicine, Occupational Medicine	–	–
208600000X	Surgery	–	–
207R00000X	Internal Medicine	00016	NH
207X00000X	Orthopaedic Surgery	00016	NH
2083X0100X	Preventive Medicine, Occupational Medicine	00016	NH

Other names

Physician Practices At Alice Peck Day (Doing Business As)

Practice location

10 Alice Peck Day Dr
Lebanon, NH 03766-2647

Phone 603-448-3122 · Fax 603-448-7491

Mailing address

10 Alice Peck Day Dr
Lebanon, NH 03766-2647

Phone 603-448-3122 · Fax 603-448-7462

Authorized official

Susan E Mooney
Ceo/President
6034483121

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