| Speare Memorial Hospital | |
|
16 Hospital Rd Plymouth NH 03264-1126 | |
| (603) 536-1104 | |
| (603) 536-7260 |
| Full Name | Speare Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Hospital Rd, Plymouth, New Hampshire |
| Authorized Official Name and Position | Michelle L Mcewen (PRESIDENT / CEO) |
| Authorized Official Contact | 6035361120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speare Memorial Hospital 16 Hospital Rd Plymouth NH 03264-1126 Ph: (603) 238-2204 | Speare Memorial Hospital 16 Hospital Rd Plymouth NH 03264-1126 Ph: (603) 536-1104 |
| NPI Number | 1437291515 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 1153318068 |
|---|---|
| Medicare Enrollment ID | O20051116001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437291515 | NPI | - | NPPES |
| 30009400 | Medicaid | NH | |
| 0RE4129 | Medicaid | VT | |
| 3083073 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 01300 (New Hampshire) | Primary |
| Provider Name | Joseph A Ebner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881602472 PECOS PAC ID: 4183646573 Enrollment ID: I20051229000109 |
| Provider Name | Zachary S Tyser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609215490 PECOS PAC ID: 4486940491 Enrollment ID: I20170901000151 |
| Provider Name | Jennifer L Bentwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942512066 PECOS PAC ID: 7517101868 Enrollment ID: I20201217001287 |
| Provider Name | Elizabeth A Disney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124412119 PECOS PAC ID: 8921387754 Enrollment ID: I20211116001194 |
Plymouth Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Warren St, Plymouth, NH 03264 Phone: 603-536-2502 Fax: 603-536-2503 | |
Mid-state Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 Main St, Plymouth, NH 03264 Phone: 603-536-4000 | |
Plymouth Pediatric And Adolescent Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 71 Highland St, Plymouth, NH 03264 Phone: 603-536-3700 Fax: 603-536-5384 | |
Speare Hospitalist Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16 Hospital Rd, Plymouth, NH 03264 Phone: 603-536-1120 | |
Gennaro Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Hospital Rd, Plymouth, NH 03264 Phone: 603-536-1120 | |
Mid-state Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264 Phone: 603-536-4000 Fax: 603-536-4001 |