Provider Demographics
NPI:1093787384
Name:ST JOSEPH HOSPITAL OF NASHUA NH
Entity Type:Organization
Organization Name:ST JOSEPH HOSPITAL OF NASHUA NH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PLAMONDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-882-3000
Mailing Address - Street 1:PO BOX 95000 LBX 7655
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-0001
Mailing Address - Country:US
Mailing Address - Phone:207-777-8202
Mailing Address - Fax:207-783-6660
Practice Address - Street 1:172 KINSLEY STREET
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3648
Practice Address - Country:US
Practice Address - Phone:603-882-3000
Practice Address - Fax:603-889-1651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0850X, 261QM2500X, 261QU0200X, 282N00000X
NH00023282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNHMCK001OtherSUBMITTER ID
NHNH0637Medicare PIN
NH300011Medicare Oscar/Certification
NHNH0815Medicare PIN
NHNH0813Medicare PIN
NHNH0637Medicare PIN