=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790276772
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LITTLETON HOSPITAL ASSOCIATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2018
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 580 SAINT JOHNSBURY RD STE 13
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03561-3437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-444-9024
-----------------------------------------------------
Fax | 603-575-6134
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 580 SAINT JOHNSBURY RD STE 13
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03561-3437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-444-9024
-----------------------------------------------------
Fax | 603-575-6134
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROBERT NUTTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 603-444-9558
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 04422
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------