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NPI 1023092053 · live from the CMS NPI Registry

Mary Hitchcock Memorial Hospital

General Acute Care Hospital in Lebanon, NH. National Provider Identifier 1023092053, active.

NPI record

NPI1023092053 Type 2 · organization
StatusActive
Primary specialtyGeneral Acute Care Hospital 282N00000X
Practice locationOne Medical Center Dr, Lebanon, NH 03756
Practice phone603-650-5000
Mailing addressPo Box 419112, Boston, MA 02241
EnumeratedDecember 2, 2005
Last updatedAugust 31, 2026
Authorized officialDaniel Jantzen, Chief Financial Officer

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X01799 (NH)
Clinic/Center, Emergency Care261QE0002X01799 (NH)
Clinic/Center, Hearing and Speech261QH0700X01799 (NH)
Psychiatric Unit273R00000X01799 (NH)
General Acute Care Hospital primary282N00000X01799 (NH)
Durable Medical Equipment & Medical Supplies332B00000X01799 (NH)
Ambulance, Air Transport3416A0800X0296 (NH)
Ambulance, Air Transport3416A0800X0920 (VT)
Ambulance, Land Transport3416L0300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.