Active NPI
Alice Peck Day Memorial Hospital
Doing business as Womens Care Center at Alice Peck Day
- Obstetrics & Gynecology Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 00016
- Legal business name
- ALICE PECK DAY MEMORIAL HOSPITAL
- Doing business as
- Womens Care Center at Alice Peck Day
- Practice address
- 141 Mascoma St
Lebanon, NH 03766 - Phone
- (603) 448-3996
- Fax
- (603) 448-6863
- NPI assigned
- May 25, 2006
- Last updated
- Apr 25, 2013
- Organization subpart
- Yes
- Parent organization
- ALICE PECK DAY MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan E Mooney, MD
- Title
- Ceo/President
- Phone
- (603) 448-3121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | 00016 | NH | Primary |
Addresses
Primary practice location
141 Mascoma St
Lebanon, NH 03766
Mailing address
10 Alice Peck Day Dr
Lebanon, NH 03766-2647
Phone (603) 448-3121
Other names 1
- Womens Care Center at Alice Peck Day
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1093761892. Details of each certification follow.
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
- Enrollment address
- 10 Alice Peck Day Dr
Lebanon, NH 37662900
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Swing Unit at Alice Peck Day
- Critical Access Hospital
- Lebanon, NH
- NPI 1346456043
Hospital unit
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
O20061104000184
-
dba Physician Practices at Alice Peck Day
- Family Medicine Physician
- Lebanon, NH
- NPI 1073569810
O20061104000184
-
dba Emergency Services at Alice Peck Day
- General Practice Physician
- Lebanon, NH
- NPI 1295805950
O20061104000184
-
- Urgent Care Clinic/Center
- Lebanon, NH
- NPI 1942002274
O20061104000184
-
dba Extended Care Facility
- Skilled Nursing Facility
- Lebanon, NH
- NPI 1043207566
O20061104000184
Care Compare: Hospital
Medicare Care Compare- Listed as
- Alice Peck Day Memorial Hospital
- Overall star rating
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Alice Peck Day Ecf
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Lebanon, NH
- NPI 1922041094
Corporate Officer, W-2 Managing Employee
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Urgent Care Clinic/Center
- Lebanon, NH
- NPI 1942002274
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Lebanon, NH
- NPI 1740276757
Affiliated clinicians 530
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Lebanon, NH
- NPI 1982983821
-
- Hospitalist Physician
- Lebanon, NH
- NPI 1679976294
-
- Infectious Disease Physician
- Lebanon, NH
- NPI 1104116482
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366848000000",
"number": "1093761892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662647",
"telephone_number": "603-448-3121",
"fax_number": "603-448-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MASCOMA ST",
"city": "LEBANON",
"state": "NH",
"postal_code": "03766",
"telephone_number": "603-448-3996",
"fax_number": "603-448-6863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
"enumeration_date": "2006-05-25",
"last_updated": "2013-04-25",
"status": "A",
"authorized_official_last_name": "MOONEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "603-448-3121",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "00016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Womens Care Center at Alice Peck Day",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lebanon, NH
- Fatima Ali, DO
- Kristina Ali, MD
- Alice Peck Day Health Systems (Harvest Hill)
- Alice Peck Day Memorial Hospital
- Alice Peck Day Memorial Hospital (Physician Practices at Alice Peck Day)
- Alice Peck Day Memorial Hospital (Emergency Services at Alice Peck Day)
- Alice Peck Day Memorial Hospital (Swing Unit at Alice Peck Day)
- Alice Peck Day Memorial Hospital (Upper Valley Smiles)
- Alice Peck Day Memorial Hospital (Neurosurgery Service at APD)
- Alice Peck Day Memorial Hospital (Alice Peck Day Memorial Hospital Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.