Provider Demographics
NPI:1205857372
Name:WEEKS MEDICAL CENTER
Entity Type:Organization
Organization Name:WEEKS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-788-5030
Mailing Address - Street 1:173 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NH
Mailing Address - Zip Code:03584-3508
Mailing Address - Country:US
Mailing Address - Phone:603-788-5029
Mailing Address - Fax:603-788-5607
Practice Address - Street 1:47 CHURCH ST
Practice Address - Street 2:
Practice Address - City:GROVETON
Practice Address - State:NH
Practice Address - Zip Code:03582-4061
Practice Address - Country:US
Practice Address - Phone:603-636-1101
Practice Address - Fax:603-788-5027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEEKS MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-22
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0303977Medicaid
NH303977OtherANTHEM
NH3073530Medicaid
VT0303977Medicaid