Healthcare Provider Details

I. General information

NPI: 1093578197
Provider Name (Legal Business Name): SPEARE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 BOULDER POINT DR
PLYMOUTH NH
03264-3168
US

IV. Provider business mailing address

16 HOSPITAL RD
PLYMOUTH NH
03264-1126
US

V. Phone/Fax

Practice location:
  • Phone: 603-536-5670
  • Fax:
Mailing address:
  • Phone: 603-536-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE L. MCEWEN
Title or Position: PRESIDENT / CEO
Credential:
Phone: 603-536-1120