Healthcare Provider Details

I. General information

NPI: 1679642482
Provider Name (Legal Business Name): LITTLETON HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SAINT JOHNSBURY RD
LITTLETON NH
03561-3442
US

IV. Provider business mailing address

PO BOX 160
LITTLETON NH
03561-0160
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-9000
  • Fax:
Mailing address:
  • Phone: 603-444-9000
  • Fax: 603-444-9392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number02790
License Number StateNH

VIII. Authorized Official

Name: ANDREW MAJKA
Title or Position: CFO
Credential:
Phone: 603-444-9504