Healthcare Provider Details

I. General information

NPI: 1720292931
Provider Name (Legal Business Name): EXETER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ALUMNI DRIVE
EXETER NH
03833
US

IV. Provider business mailing address

5 ALUMNI DR.
EXETER NH
03833
US

V. Phone/Fax

Practice location:
  • Phone: 603-580-6635
  • Fax:
Mailing address:
  • Phone: 603-580-6635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL G. SCHIDLOVSKY
Title or Position: DIRECTOR
Credential:
Phone: 603-770-8685