Healthcare Provider Details

I. General information

NPI: 1568459931
Provider Name (Legal Business Name): HUGGINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S MAIN ST MEDICAL ARTS BUILDING, SUITE A
WOLFEBORO NH
03894-4411
US

IV. Provider business mailing address

240 S MAIN ST
WOLFEBORO NH
03894-4411
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-7574
  • Fax: 603-569-7582
Mailing address:
  • Phone: 603-569-7574
  • Fax: 603-569-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY S ROBERGE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 603-569-7510