Organization
CHESHIRE MEDICAL CENTER
Active
Other names
CHESHIRE MEDICAL CENTER PROFESSIONAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WOOD (DIRECTOR, REVENUE CYCLE)
(603) 354-5454
Entity
Organization
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115310
—
NH
Enumeration date
03/15/2018
Last updated
04/10/2019
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