Healthcare Provider Details
I. General information
NPI: 1043433402
Provider Name (Legal Business Name): FRISBIE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2007
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 WHITEHALL RD
ROCHESTER NH
03867-3226
US
IV. Provider business mailing address
11 WHITEHALL RD
ROCHESTER NH
03867-3226
US
V. Phone/Fax
- Phone: 603-335-8114
- Fax:
- Phone: 603-335-8114
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 00028 |
| License Number State | NH |
VIII. Authorized Official
Name: DR.
JOCELYN
F.
CAPLE
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 603-335-8104