Organization
ALICE PECK DAY MEMORIAL HOSPITAL-ECU
Active
Parent organization
ALICE PECK DAY MEMORIAL HOSPITAL
Other names
Extended Care Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALICE PECK DAY MEMORIAL HOSPITAL
Authorized official
HARRY G DORMAN III (PRESIDENT/CEO)
(603) 448-3121
Entity
Organization
Contact information
Practice address
125 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-3121
(603) 448-7462
Mailing address
125 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
0016A
NH
313M00000X
Nursing Facility/Intermediate Care Facility
0016A
NH
314000000X
Skilled Nursing Facility
Primary
0016A
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305033
—
VT
05
—
80305033
—
NH
Enumeration date
09/30/2005
Last updated
02/02/2010
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