Organization
SPEARE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L MCEWEN (PRESIDENT/CEO)
(603) 536-1120
Entity
Organization
Contact information
Practice address
103 BOULDER POINT DRIVE, PLYMOUTH, NH 03264
(603) 536-1881
(603) 238-2198
Mailing address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 238-2204
(603) 536-2034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
01300
NH
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017704
—
VT
05
—
30517874
—
NH
05
—
3083028
—
NH
Enumeration date
01/16/2007
Last updated
04/27/2023
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