Healthcare Provider Details

I. General information

NPI: 1699584219
Provider Name (Legal Business Name): MARY HITCHCOCK MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 EAST RD
HAMPSTEAD NH
03841-2305
US

IV. Provider business mailing address

PO BOX 419112
BOSTON MA
02241-9112
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-5000
  • Fax:
Mailing address:
  • Phone: 603-650-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: WENDY FIELDING
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 603-653-1102