Alice Peck Day Memorial Hospital
Organization Active NPI Family Medicine Physician · Lebanon, NH
NPI 1073569810 · NPPES record last updated Apr 25, 2013
Key facts
- NPI
- 1073569810
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 00016 (NH)
- Legal business name
- ALICE PECK DAY MEMORIAL HOSPITAL
- Practice address
- 10 Alice Peck Day Dr
Lebanon, NH 03766-2647 - Phone
- (603) 448-3122
- Fax
- (603) 448-7491
- NPI assigned
- May 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ALICE PECK DAY MEMORIAL HOSPITAL
Authorized official
- Name
- Susan E Mooney, MD
- Title
- Ceo/President
- Phone
- (603) 448-3121
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 3
-
Laura M Greer, M.D.
-
Michael T Lynch, MD
-
Scott W Rodi, M.D.
Other NPIs on the same Medicare enrollment 6
Related certifications (CCN) 1
Practitioners 306
-
Matthew Alexander, PHD, PA-S
-
Fredrik Amell, MD
-
Benjamin Ames, PA
-
Alexandra J Angelo, PA-C
-
Donald W Ayres, MD
-
Remy Bacaicoa, APRN
-
Sheilla Marie Bachelder, M.D.
-
Sean Bears, MD
-
Virginia Louise Beggs, APRN
-
William Bihrle III, M.D.
-
Sarah Billmeier, MD
-
Elizabeth Blain, APRN
-
Michael Bova, MD
-
Doug J Brickey, DNP CRNA
-
Jessica Lee Brooks, M.D.
-
Annika Meith Brown, M.D.
-
Reed Brozen, MD
Affiliated clinicians 530
-
Anna M Adler, PA-C
-
Jeffrey M Adler, M.D.
-
Muhammad Zubair Afzal, M.D.
-
Shawn M Ahmad, MD
-
Fredrik Amell, MD
-
Benjamin Ames, PA
-
Alexandra J Angelo, PA-C
-
Daniel S Aridgides, M.D. PH.D.
-
Remy Bacaicoa, APRN
-
Sheilla Marie Bachelder, M.D.
-
Amy L Beaupre, APRN
-
Jill A Begnoche, APRN
-
Steve Peter Bensen, M.D.
-
Ruth Elizabeth Berggren, M.D.
Medicare Care Compare: Hospital
- Listed as
- Alice Peck Day Memorial Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH
Hospital certification: CCN 301305
- Legal name
- ALICE PECK DAY MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Aug 1, 2003
- Last certification
- Jan 20, 2023
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 10 Alice Peck Day Dr
Lebanon, NH 37662900
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher L Hubble |
Corporate Director |
Jan 1, 2024 | |
| Gerard I Duprat |
Corporate Director |
Jan 1, 2022 | |
| Anna Adachi-Mejia |
Corporate Director |
Jan 1, 2023 | |
| Jenny Barba |
Corporate Director |
Jan 1, 2022 | |
| Jennifer S Schiffman |
Corporate Director |
Jan 1, 2017 | |
| Clayton R Adams |
Corporate Director |
Jan 1, 2018 | |
| David Duncan |
Corporate Director |
Jan 1, 2022 | |
| Charles J Wheelan |
Corporate Director |
Jan 1, 2018 | |
| Marisa D Devlin |
Corporate Director |
Jan 1, 2018 | |
| Laura M Greer |
Corporate Director |
Jan 1, 2023 | |
| Scott W Rodi |
Corporate Director |
Jan 1, 2019 | |
| Michael T Lynch |
Corporate Officer |
Oct 13, 2025 | 2% |
| W-2 Managing Employee | Oct 13, 2025 | ||
| Patrick F Jordan |
Corporate Director |
Jan 1, 2019 | |
| Dartmouth-Hitchcock Health |
Operational/Managerial Control | Mar 1, 2016 | 100% |
| Laura Gillespie |
Corporate Director |
Jan 1, 2024 | |
| H. Sloane Mayor |
Corporate Director |
Jan 1, 2022 | |
| Tegan Deogburn |
Corporate Director |
Dec 6, 2023 | |
| Patrici Drew |
Operational/Managerial Control |
Sep 1, 2025 | |
| Michele Perkins |
Corporate Director |
Jan 1, 2025 | |
| Cybele M Merrick |
Corporate Director |
Jan 1, 2021 | |
| Barbara Moore |
Corporate Director |
Apr 1, 2020 | |
| Susan E Mooney |
Corporate Officer |
Oct 1, 2012 | |
| W-2 Managing Employee | Oct 1, 2012 | ||
| Courtney Tanner |
Corporate Director |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040927000296 | NH | Part B Supplier - Clinic/Group Practice | 6103737531 |
Receives reassigned benefits from 335 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lebanon, NH |
| O20061104000184 | NH | Part a Provider - Critical Access Hospital | 6103737531 |
Receives reassigned benefits from 302 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lebanon, NH |
National Provider Directory
- Part of
- Alice Peck Day Hosp Iap
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Family Medicine Physician |
207Q00000X | 00016 | NH | Yes |
| Internal Medicine Physician |
207R00000X | |||
| Internal Medicine Physician |
207R00000X | 00016 | NH | |
| Orthopaedic Surgery Physician |
207X00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | 00016 | NH | |
| Occupational Medicine Physician |
2083X0100X | |||
| Occupational Medicine Physician |
2083X0100X | 00016 | NH | |
| Surgery Physician |
208600000X | |||
| Hospitalist Physician |
208M00000X | |||
| Pain Medicine Physician |
208VP0000X |
Addresses
Primary practice location
10 Alice Peck Day Dr
Lebanon, NH 03766-2647
Mailing address
10 Alice Peck Day Dr
Lebanon, NH 03766-2647
Phone (603) 448-3122
Other names
- Physician Practices at Alice Peck Day
Other providers in Lebanon, NH
- Matthew Alexander
- Fatima Ali
- Kristina Ali
- Alice Peck Day Health Systems
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital
All providers in Lebanon, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.