NPIMap

Organization Active NPI

Trustees of Dartmouth College

Doing business as Dick Halls House Pharmacy

  • Student Health Clinic/Center
  • Hanover, NH
National Provider Identifier
1689705931
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
0012 Issued in NH
Legal business name
TRUSTEES OF DARTMOUTH COLLEGE
Doing business as
Dick Halls House Pharmacy
Practice address
5 Rope Ferry Rd
Hanover, NH 03755-1404
Phone
(603) 646-9456
Fax
(603) 646-9447
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Gordon Taylor
Title
Assoc Dean and Executive Officer
Phone
(603) 646-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 0012 NH Primary

Addresses

Primary practice location

5 Rope Ferry Rd
Hanover, NH 03755-1404

Mailing address

7 Rope Ferry Rd # 6143
Hanover, NH 03755-1404
Phone (603) 646-9456

Other identifiers 1

IdentifierTypeStateIssuer
30704155MedicaidNH

Other names 1

  • Dick Halls House Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dartmouth Hitchcock Psychiatric Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

7 Rope Ferry Rd
#6143
Hanover, NH 03755
Phone (603) 646-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1689705931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROPE FERRY RD # 6143",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551404",
            "telephone_number": "603-646-9456",
            "fax_number": "603-646-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROPE FERRY RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551404",
            "telephone_number": "603-646-9456",
            "fax_number": "603-646-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF DARTMOUTH COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "ASSOC DEAN AND EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "603-646-9157"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NH",
            "license": "0012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30704155",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dick Halls House Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.