Healthcare Provider Details

I. General information

NPI: 1124070966
Provider Name (Legal Business Name): CONCORD HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST
CONCORD NH
03301-7539
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-7539
US

V. Phone/Fax

Practice location:
  • Phone: 603-227-7000
  • Fax: 603-230-6049
Mailing address:
  • Phone: 603-227-7000
  • Fax: 603-230-6049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number01098
License Number StateNH

VIII. Authorized Official

Name: MR. SCOTT SLOANE
Title or Position: SENIOR VICE PRESIDENT
Credential: CFO
Phone: 603-227-7000