Healthcare Provider Details

I. General information

NPI: 1174398846
Provider Name (Legal Business Name): LITTLETON HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SAINT JOHNSBURY RD
LITTLETON NH
03561-3442
US

IV. Provider business mailing address

600 SAINT JOHNSBURY RD
LITTLETON NH
03561-3442
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-9000
  • Fax: 603-444-0443
Mailing address:
  • Phone: 603-444-9000
  • Fax: 603-444-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: STEVEN JOHN SHAFFER
Title or Position: CFO
Credential:
Phone: 239-778-7240