Healthcare Provider Details

I. General information

NPI: 1548634082
Provider Name (Legal Business Name): VALLEY REGIONAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 12/14/2019
Certification Date: 12/14/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DUNNING STREET SUITE 1
CLAREMONT NH
03743-2099
US

IV. Provider business mailing address

243 ELM STREET
CLAREMONT NH
03743-2099
US

V. Phone/Fax

Practice location:
  • Phone: 603-543-1251
  • Fax: 603-542-3558
Mailing address:
  • Phone: 603-543-6940
  • Fax: 603-543-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JEAN SHAW
Title or Position: CFO
Credential:
Phone: 603-542-7771