Healthcare Provider Details

I. General information

NPI: 1639166077
Provider Name (Legal Business Name): HUGGINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 WHITTIER HIGHWAY
MOULTONBOROUGH NH
03254
US

IV. Provider business mailing address

PO BOX 750
MOULTONBOROUGH NH
03254-0750
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-7588
  • Fax: 603-476-5396
Mailing address:
  • Phone: 603-476-2216
  • Fax: 603-476-5396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY S ROBERGE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 603-569-7500