Provider Demographics
NPI:1720292931
Name:EXETER HOSPITAL
Entity Type:Organization
Organization Name:EXETER HOSPITAL
Other - Org Name:CENTER FOR OCCUPATIONAL AND EMPLOYEE HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHIDLOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-770-8685
Mailing Address - Street 1:5 ALUMNI DR.
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833
Mailing Address - Country:US
Mailing Address - Phone:603-580-6635
Mailing Address - Fax:
Practice Address - Street 1:5 ALUMNI DRIVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833
Practice Address - Country:US
Practice Address - Phone:603-580-6635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine