Healthcare Provider Details

I. General information

NPI: 1134226327
Provider Name (Legal Business Name): CONCORD HOSPITAL-LACONIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 ELLIOTT ST
LACONIA NH
03246-3130
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-7559
US

V. Phone/Fax

Practice location:
  • Phone: 603-527-7112
  • Fax: 603-527-2835
Mailing address:
  • Phone: 603-227-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNH

VIII. Authorized Official

Name: SCOTT W SLOANE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 603-227-7000