Healthcare Provider Details
I. General information
NPI: 1104968981
Provider Name (Legal Business Name): FRISBIE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2007
Last Update Date: 01/16/2019
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: 603-332-5211
- Fax: 603-330-8969
- Phone: 603-332-5211
- Fax: 603-330-8969
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273R00000X |
| Taxonomy | Psychiatric Hospital Unit |
| 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