Healthcare Provider Details

I. General information

NPI: 1093787384
Provider Name (Legal Business Name): ST. JOSEPH HOSPITAL OF NASHUA, NH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 06/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 KINSLEY STREET
NASHUA NH
03060-3648
US

IV. Provider business mailing address

172 KINSLEY STREET
NASHUA NH
03060-3648
US

V. Phone/Fax

Practice location:
  • Phone: 603-882-3000
  • Fax: 603-889-1651
Mailing address:
  • Phone: 603-882-3000
  • Fax: 603-889-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number00023
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number00023
License Number State

VIII. Authorized Official

Name: MR. RICHARD J PLAMONDON
Title or Position: CFO
Credential:
Phone: 603-882-3000