Provider Demographics
NPI:1437158433
Name:EXETER HOSPITAL INC
Entity type:Organization
Organization Name:EXETER HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-580-6751
Mailing Address - Street 1:7 HOLLAND WAY
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2937
Mailing Address - Country:US
Mailing Address - Phone:603-580-7936
Mailing Address - Fax:603-580-7946
Practice Address - Street 1:5 ALUMNI DRIVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4831
Practice Address - Country:US
Practice Address - Phone:603-778-7311
Practice Address - Fax:603-580-7946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01761282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH40800023Medicaid
NHNH0740Medicare PIN
NH300023Medicare Oscar/Certification
NHNH0741Medicare PIN
NHRE8439Medicare PIN