Healthcare Provider Details

I. General information

NPI: 1134497688
Provider Name (Legal Business Name): LITTLETON HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 PROFILE RD ALPINE CLINIC
FRANCONIA NH
03580-4938
US

IV. Provider business mailing address

PO BOX 160
LITTLETON NH
03561
US

V. Phone/Fax

Practice location:
  • Phone: 603-823-8600
  • Fax:
Mailing address:
  • Phone: 603-259-7627
  • Fax: 603-735-6070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNH

VIII. Authorized Official

Name: LESLIE WALKER
Title or Position: VP OF FINANCE
Credential:
Phone: 603-444-9505