Provider Demographics
NPI:1023325586
Name:NEW HAMPSHIRE HOSPITAL
Entity type:Organization
Organization Name:NEW HAMPSHIRE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCGURK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-271-5369
Mailing Address - Street 1:105 PLEASANT ST
Mailing Address - Street 2:PSYCHIATRIC RESEARCH CENTER, MAIN BUILDING
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3852
Mailing Address - Country:US
Mailing Address - Phone:160-327-1574
Mailing Address - Fax:
Practice Address - Street 1:105 PLEASANT ST
Practice Address - Street 2:PSYCHIATRIC RESEARCH CENTER, MAIN BUILDING
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3852
Practice Address - Country:US
Practice Address - Phone:160-327-1574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-06
Last Update Date:2010-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1075283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital