SPEARE MEMORIAL HOSPITAL
NPI 1235163585
Specialist in Plymouth, NH

NPI Status: Active since July 11, 2006

Contact Information

16 HOSPITAL RD
PLYMOUTH, NH
ZIP 03264
Phone: (603) 536-5670
Fax: (603) 238-2166

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 30D2126079
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-20-2027

About SPEARE MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Speare Memorial Hospital, a provider established in Plymouth, New Hampshire operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1235163585 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number 9314 (NH). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michelle L Mcewen (President/ceo)

NPI
1235163585
Provider Name
SPEARE MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
16 HOSPITAL RD PLYMOUTH, NH 03264
Location Phone
(603) 536-5670
Location Fax
(603) 238-2166
Mailing Address
16 HOSPITAL RD PLYMOUTH, NH 03264
Mailing Phone
(603) 238-2204
Mailing Fax
(603) 238-2166
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-11-2006
Last Update Date
04-09-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
9314
License State
NH
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE L MCEWEN

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(603) 536-1120

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3076996MEDICAID (05)NH 
80003439MEDICAID (05)NH 
ORE3439MEDICAID (05)VT 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
30D2126079
Facility Type
School/Student Health Service
Certificate Effective Date
February 21, 2025
Certificate Expiration Date
February 20, 2027
Laboratory Director
GABRIELLE GRAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Speare Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SPEARE MEMORIAL HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235163585
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265266516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 6 + 6 + 5 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1235163585 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730197765SPEARE MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1609088483MS. CRYSTAL JO CASCADDEN RPH
Individual
Pharmacist16 HOSPITAL RD SPEARE MEMORIAL HOSPITAL
PLYMOUTH, NH 03264
(603) 238-2226
1336318237 BARBARA A LAVERACK
Individual
Dental Hygienist16 HOSPITAL RD SPEARE MEMORIAL HOSPITAL
PLYMOUTH, NH 03264
(603) 536-1120
1932378726SPEARE MEMORIAL HOSPITAL
Organization
Clinic/Center (Dental)16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1164696225SPEARE MEMORIAL HOSPITAL
Organization
Clinic/Center (Dental)16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1548421472 GILLIAN MARGARET CAVEZZALI PT
Individual
Physical Therapist16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 238-2308
1447561352 JANETTE E GAUMER R.D.
Individual
Dietitian, Registered16 HOSPITAL RD SPEARE MEMORIAL HOSPITAL - DIETARY SERVICES
PLYMOUTH, NH 03264
(603) 536-1120
1114237187SPEARE MEMORIAL HOSP PHCY DEPT
Organization
Pharmacy (Institutional Pharmacy)16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 238-2226
1487943700SPEARE MEMORIAL HOSPITAL
Organization
Family Medicine16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1255365417 MARY-CATHERINE GENNARO DO
Individual
Family Medicine16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1881
1215275219 RUTH ALEXANDER DOANE RDH
Individual
Dental Hygienist16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1346402047SPEARE MEMORIAL HOSPITAL
Organization
General Practice16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1295735736MR. TERRANCE DEAN COPSEY CRNA
Individual
Nurse Anesthetist, Certified Registered16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1417191685 STEVEN VINCENT BALL CRNA
Individual
Nurse Anesthetist, Certified Registered16 HOSPITAL RD PLYMOUTH ANESTHESIA
PLYMOUTH, NH 03264
(603) 536-1120
1437291515SPEARE MEMORIAL HOSPITAL
Organization
Clinic/Center (Rural Health)16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1104
1023036191SPEARE MEMORIAL HOSPITAL
Organization
Specialist16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1306171756 MARY CHAU-HANH PHAM
Individual
Nurse Anesthetist, Certified Registered16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1073071528 RYANNE MARIE HASKELL RDN
Individual
Dietitian, Registered16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1609265065DR. RUDOLPH PAVLESICH III DNP, CRNA, FNP-BC
Individual
Nurse Anesthetist, Certified Registered16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 536-1120
1659565950 ANDREW WILLIAM SEEFELD MD
Individual
Emergency Medicine16 HOSPITAL RD
PLYMOUTH, NH 03264
(603) 238-2239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235163585, enumerated in the NPI registry as an "organization" on July 11, 2006

The provider is located at 16 Hospital Rd Plymouth, Nh 03264 and the phone number is (603) 536-5670

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Ambetter from NH Healthy Families, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 30D2126079 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.