Healthcare Provider Details

I. General information

NPI: 1871534792
Provider Name (Legal Business Name): HUGGINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 NEW DURHAM ROAD
ALTON NH
03809
US

IV. Provider business mailing address

PO BOX 1380
ALTON NH
03809-1380
US

V. Phone/Fax

Practice location:
  • Phone: 603-875-6151
  • Fax: 603-875-2944
Mailing address:
  • Phone: 603-875-6151
  • Fax: 603-875-2944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0029
License Number StateNH

VIII. Authorized Official

Name: MR. JEREMY S ROBERGE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 603-569-7500