Healthcare Provider Details

I. General information

NPI: 1619359361
Provider Name (Legal Business Name): VALLEY REGIONAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 ELM STREET
CLAREMONT NH
03743-2099
US

IV. Provider business mailing address

243 ELM STREET
CLAREMONT NH
03743-2099
US

V. Phone/Fax

Practice location:
  • Phone: 603-542-7771
  • Fax: 603-543-6950
Mailing address:
  • Phone: 603-542-7771
  • Fax: 603-543-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number04092
License Number StateNH

VIII. Authorized Official

Name: MR. MATTHEW FOSTER
Title or Position: CEO
Credential:
Phone: 603-542-7771