Healthcare Provider Details

I. General information

NPI: 1134235443
Provider Name (Legal Business Name): ST JOSEPH HOSPITAL OF NASHUA NH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 KINSLEY ST
NASHUA NH
03060-3648
US

IV. Provider business mailing address

172 KINSLEY ST
NASHUA NH
03060-3648
US

V. Phone/Fax

Practice location:
  • Phone: 603-595-3090
  • Fax: 603-578-5011
Mailing address:
  • Phone: 603-595-3090
  • Fax: 603-578-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0588P
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GERARD F HADLEY
Title or Position: VP FINANCE/CFO
Credential:
Phone: 603-884-3351