Provider Demographics
NPI:1386992279
Name:HUGGINS HOSPITAL
Entity type:Organization
Organization Name:HUGGINS HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNELLY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:603-569-7500
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894-0912
Mailing Address - Country:US
Mailing Address - Phone:603-569-7500
Mailing Address - Fax:603-569-7509
Practice Address - Street 1:240 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4411
Practice Address - Country:US
Practice Address - Phone:603-569-7500
Practice Address - Fax:603-569-7509
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUGGINS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-27
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00029261QC0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital