# SPEARE MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gennaro Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487943700
- **Authorized official:** MICHELLE MCEWEN (CEO)
- **Authorized official phone:** (603) 536-1120

## Contact information

- **Practice address:** 16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
- **Practice address phone:** (603) 536-1120
- **Mailing address:** PO BOX 32, ANDOVER, NH 03216-0032
- **Mailing address phone:** (603) 735-6060
- **Mailing address fax:** (877) 521-6764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 09/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30218836 | — | NH |