Provider Demographics
NPI:1871534792
Name:HUGGINS HOSPITAL
Entity type:Organization
Organization Name:HUGGINS HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROBERGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-569-7500
Mailing Address - Street 1:PO BOX 1380
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:NH
Mailing Address - Zip Code:03809-1380
Mailing Address - Country:US
Mailing Address - Phone:603-875-6151
Mailing Address - Fax:603-875-2944
Practice Address - Street 1:27 NEW DURHAM ROAD
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:NH
Practice Address - Zip Code:03809
Practice Address - Country:US
Practice Address - Phone:603-875-6151
Practice Address - Fax:603-875-2944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUGGINS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-10
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0029207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3080061Medicaid
NHRE8642Medicare UPIN