DARTMOUTH-HITCHCOCK CLINIC (NPI# 1174176861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174176861 |
| Entity Type | Organization |
| Organization Name | DARTMOUTH-HITCHCOCK CLINIC |
| Other Organization Name | THE DOORWAY AT CHESHIRE MEDICAL CENTER |
| Practice Address |
24 Railroad St Keene NH 03431-3744 |
| Mailing Address |
Po Box 419093 Boston MA 02241-9093 |
| Practice Telephone | 6033545400 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | DANIEL P JANTZEN (CFO) |
| Authorized Official Telephone | 6036505634 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Doorway at Cheshire Medical Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Marlboro St, Keene, NH 034314049 | 6033545400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124681846 | Dartmouth-hitchcock Clinic | Clinic/Center | 85 Mechanic St Ste B3-1, Lebanon, NH 03766-1537 | 2019-04-18 |
| 1508946732 | Dartmouth-hitchcock Clinic | Dermatology | 9 Belmont Ave, Brattleboro, VT 05301-6613 | 2006-10-16 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1417579277 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 5 Washington Pl, Bedford, NH 03110-6736 | 2020-05-14 |
| 1477175412 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2020-05-13 |
| 1235751280 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 253 Pleasant St, Concord, NH 03301-7560 | 2020-05-13 |
| 1710509765 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 25 S River Rd, Bedford, NH 03110-6715 | 2020-05-13 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1205343175 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 149 Emerald St, Keene, NH 03431-3611 | 2018-01-02 |
| 1619482445 | Dartmouth-hitchcock Clinic | Internal Medicine | 149 Emerald St, Keene, NH 03431-3611 | 2017-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | DARTMOUTH-HITCHCOCK CLINIC CORPORATION | One Medical Center Dr, Lebanan, NH 03756 |
| Street Address |
24 RAILROAD ST |
| City | KEENE |
| State | NH |
| Zip Code | 03431-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367478 | Douglas Hohenberger | Counselor | 24 Railroad St, Keene, NH 03431-3744 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015788 | Ryan Gagne | Clinic/Center | 881 Marlboro Rd, Keene, NH 03431-5617 | 2020-02-18 |
| 1881257590 | Cheshire Medical Center | Clinic/Center | 640 Marlboro St, Keene, NH 03431-4049 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124681846 | Dartmouth-hitchcock Clinic | Clinic/Center | 85 Mechanic St Ste B3-1, Lebanon, NH 03766-1537 | 2019-04-18 |
| 1811383276 | Life Services for Recovery, LLC | Clinic/Center | 491 Amherst St Unit 105, Nashua, NH 03063-1259 | 2015-04-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1447649538 | Steps Opioid Addiction Treatment | Clinic/Center | 575 South Willow St, Suite 208, Manchester, NH 03103 | 2015-01-13 |
| 1134745284 | Concentric Counseling, Pllc | Clinic/Center | 4 Bicentennial Sq Unit 2b, Concord, NH 03301-4069 | 2020-06-24 |
| 1598302523 | Melyssa Manock, Msw, Mladc, LLC | Clinic/Center | 6 Chenell Dr, Concord, NH 03301-8514 | 2019-12-10 |
| 1396251229 | Crossroads Recovery Center | Clinic/Center | 155 Main St, Salem, NH 03079-3196 | 2017-12-14 |
| 1457883779 | Destinations Wellness, LLC. | Clinic/Center | 33 Main St, Suite 501, Nashua, NH 03064-2776 | 2017-03-28 |
| 1982081154 | Bonfire Behavioral Health | Clinic/Center | 10 Grove St, Dover, NH 03820-3334 | 2015-04-27 |
| 1306240312 | Steps Opioid Addiction Treatment | Clinic/Center | 130 Pleasant St, Claremont, NH 03743-3628 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.