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Organization

UPPER CONNECTICUT VALLEY HOSPITAL

Active
Parent organization
UPPER CONNECTICUT VALLEY HOSPITAL
Other names
Laboratory Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
UPPER CONNECTICUT VALLEY HOSPITAL
Authorized official
MS. PAMELA FRIZZELL (CONTROLLER)
(603) 388-4242
Entity
Organization

Contact information

Practice address
181 CORLISS LN, COLEBROOK, NH 03576-3207
(603) 237-4971
(603) 237-4452
Mailing address
181 CORLISS LN, COLEBROOK, NH 03576-3207
(603) 237-4971
(603) 237-4452

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00592
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30D0652824
CLIA
NH
Enumeration date
06/10/2013
Last updated
06/10/2013
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