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Contact Information

WENTWORTH DOUGLASS HOSPITAL
15 OLD ROLLINSFORD RD STE 105
DOVER, NH03820-2870
 Phone: 603-742-5252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for WENTWORTH DOUGLASS HOSPITAL

NPI Number 1407385198
LBN Legal business name WENTWORTH DOUGLASS HOSPITAL
Authorized official JOEL DEGENAARS - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2017
Last updated 12/17/2025 - About 6 months ago
Identifiers
NH Medicaid 3074430
NH Other 004786 ADA CERTIFICATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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