Healthcare Provider Details
I. General information
NPI: 1730126459
Provider Name (Legal Business Name): HUGGINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2006
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
240 S MAIN ST STE H
WOLFEBORO NH
03894-4411
US
IV. Provider business mailing address
240 S MAIN ST
WOLFEBORO NH
03894-4411
US
V. Phone/Fax
- Phone: 603-569-7620
- Fax: 603-569-7664
- Phone: 603-569-7690
- Fax: 603-569-7664
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JEREMY
S
ROBERGE
Title or Position: PRESIDENT CEO
Credential:
Phone: 603-569-7500