Provider Demographics
NPI:1518007236
Name:THE NEW LONDON HOSPITAL ASSOCIATION, INC.
Entity Type:Organization
Organization Name:THE NEW LONDON HOSPITAL ASSOCIATION, INC.
Other - Org Name:NEW LONDON HOSPITAL - SWING
Other - Org Type:Other Name
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KIERAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-526-5203
Mailing Address - Street 1:273 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-7700
Mailing Address - Country:US
Mailing Address - Phone:603-526-5000
Mailing Address - Fax:603-526-5290
Practice Address - Street 1:273 COUNTY RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-5736
Practice Address - Country:US
Practice Address - Phone:603-526-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02407275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30Z304Medicare ID - Type UnspecifiedMEDICARE ID