Healthcare Provider Details

I. General information

NPI: 1821110610
Provider Name (Legal Business Name): WHITE MOUNTAIN ORTHOPEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 NH ROUTE 104
MEREDITH NH
03253-5730
US

IV. Provider business mailing address

173 NH ROUTE 104
MEREDITH NH
03253-5730
US

V. Phone/Fax

Practice location:
  • Phone: 603-279-8989
  • Fax: 603-279-7711
Mailing address:
  • Phone: 603-279-8989
  • Fax: 603-279-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBERT C HARTSON
Title or Position: PRESIDENT TREASURER
Credential: CPO
Phone: 603-279-8989