# DARTMOUTH-HITCHCOCK CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386697803
- **Authorized official:** BARBARA E MOORE (DIRECTOR,BILLING OPERATIONS)
- **Authorized official phone:** (603) 653-2010

## Contact information

- **Practice address:** 100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
- **Practice address phone:** (603) 695-2500
- **Mailing address:** PO BOX 419100, BOSTON, MA 02241-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 02552 | NH | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 05/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000821 | — | VT |
| 05 | — | 3080411 | — | NH |
| 05 | — | 3080894 | — | NH |
| 05 | — | 3081001 | — | NH |
| 01 | — | CA0032 | RAILROAD MEDICARE | NH |
| 01 | — | CA4893 | RAILROAD MEDICARE | NH |
| 01 | — | CA5006 | RAILROAD MEDICARE | NH |
| 01 | — | CA5651 | RAILROAD MEDICARE | NH |
| 01 | — | CA6501 | RAILROAD | NH |
| 01 | — | CA9427 | RAILROAD MEDICARE | NH |
| 01 | — | CB9189 | RAILROAD MEDICARE | NH |
| 01 | — | CC1439 | RAILROAD MEDICARE | NH |
| 01 | — | CE1581 | RAILROAD MEDICARE | NH |
| 01 | — | CN1486 | RAILROAD MEDICARE | NH |
| 01 | — | CN3827 | RAILROAD MEDICARE | NH |
| 01 | — | DC7903 | RAILROAD | NH |
| 01 | — | DE5051 | RAILROAD MEDICARE | NH |