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NPI Code Detail

MEDICARE: THE MEMORIAL HOSPITAL

MEDICARE: THE MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1619968849
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 3073 WHITE MOUNTAIN HWY
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-7101
Country : US
Telephone Number : 603-356-7061
Fax Number : 603-356-3942
Provider Business Practice Location Address
First Line : 3073 WHITE MOUNTAIN HWY
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-5111
Country : US
Telephone Number : 603-356-7061
Fax Number : 603-356-3942
Authorized Official
Title or Position : SENIOR DIRECTOR OF FINANCE
Name : DIANA J MCLAUGHLIN
Credential :
Telephone Number : 603-356-0613
Provider Enumeration Date : 11/05/2005
Last Update Date : 12/04/2018

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Practice Location Address:
3073 WHITE MOUNTAIN HWY
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03860-5111
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1629060926 — THE MEMORIAL HOSPITAL
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1538157292 — MR. DAVID KENT ESMAY CRNA
Practice Location Address:
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Practice Fax:
1821087685 — SHAYNE HAUGLUM CRNA
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1164413399 — DOUGLAS C. TAYLOR M.D.
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Directions to “THE MEMORIAL HOSPITAL ” Practice Location

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