Healthcare Provider Details

I. General information

NPI: 1881689354
Provider Name (Legal Business Name): HUGGINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S MAIN ST
WOLFEBORO NH
03894-4411
US

IV. Provider business mailing address

PO BOX 912
WOLFEBORO NH
03894-0912
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-7585
  • Fax: 603-569-7593
Mailing address:
  • Phone: 603-569-7585
  • Fax: 603-569-7593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

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