Organization Active NPI

Springfield Hospital

Doing business as Charlestown Family Medicine

  • Rural Health Clinic/Center
  • Charlestown, NH
National Provider Identifier
1619169208
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPRINGFIELD HOSPITAL
Doing business as
Charlestown Family Medicine
Practice address
125 Main Street
Charlestown, NH 03603-1118
Phone
(603) 826-5711
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Crawford
Title
Ceo
Phone
(802) 885-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

125 Main Street
Charlestown, NH 03603-1118

Mailing address

PO Box 1118
Charlestown, NH 03603-1118
Phone (603) 826-5711

Other identifiers 1

IdentifierTypeStateIssuer
0303979MedicaidVT

Other names 1

  • Charlestown Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Springfield Anesthesia3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1619169208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036031118",
            "telephone_number": "603-826-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN STREET",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036031118",
            "telephone_number": "603-826-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-885-2151"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0303979",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlestown Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlestown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.