Healthcare Provider Details

I. General information

NPI: 1730297359
Provider Name (Legal Business Name): SPEARE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SKI AREA ROAD
WATERVILLE VALLEY NH
03215
US

IV. Provider business mailing address

16 HOSPITAL RD
PLYMOUTH NH
03264-1126
US

V. Phone/Fax

Practice location:
  • Phone: 603-238-2176
  • Fax: 603-238-2166
Mailing address:
  • Phone: 603-238-2204
  • Fax: 603-536-2034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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