Healthcare Provider Details

I. General information

NPI: 1255587937
Provider Name (Legal Business Name): HUGGINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 WHITE MOUNTAIN HWY
TAMWORTH NH
03886
US

IV. Provider business mailing address

PO BOX 243
WEST OSSIPEE NH
03890-0243
US

V. Phone/Fax

Practice location:
  • Phone: 603-323-3311
  • Fax: 603-323-9305
Mailing address:
  • Phone: 603-323-3311
  • Fax: 603-323-9305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00029
License Number StateNH

VIII. Authorized Official

Name: MR. JEREMY S ROBERGE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 603-569-7500