Healthcare Provider Details
I. General information
NPI: 1013196047
Provider Name (Legal Business Name): VALLEY REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
243 ELM ST
CLAREMONT NH
03743-4921
US
IV. Provider business mailing address
243 ELM ST
CLAREMONT NH
03743-4921
US
V. Phone/Fax
- Phone: 603-542-7771
- Fax: 603-542-3403
- Phone: 603-542-7771
- Fax: 603-542-3403
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEVEN
L.
MONETTE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 603-542-7771