NPIMap

Organization Active NPI

Alice Peck Day Memorial Hospital

  • Urgent Care Clinic/Center
  • Lebanon, NH
National Provider Identifier
1942002274
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALICE PECK DAY MEMORIAL HOSPITAL
Practice address
5 Alice Peck Day Dr
Lebanon, NH 03766-2901
Phone
(603) 448-3121
NPI assigned
Mar 26, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Susan E MooneyNPI 1740276757
Title
Ceo/President
Phone
(603) 308-0081

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5 Alice Peck Day Dr
Lebanon, NH 03766-2901

Mailing address

PO Box 412447
Boston, MA 02241-2447
Phone (603) 629-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942002274. 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
CorporationNon-profit
Enrollment address
10 Alice Peck Day Dr
Lebanon, NH 37662900
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Alice Peck Day Memorial HospitalCCN 301305 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2282716Alice Peck Day Memorial Hospital - Ramccc5 Alice Peck Day Dr, Lebanon, NH 03766Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alice Peck Day Hosp Iap5 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

17 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 442-5630

17 Alice Peck Day Dr
Unit A
Lebanon, NH 03766
Phone (603) 443-9572

17 Alice Peck Day Dr
Unit C
Lebanon, NH 03766
Phone (603) 448-6344

57 Mechanic St
Lebanon, NH 03766
Phone (603) 442-5677

57 Mechanic St
Ste G11
Lebanon, NH 03766
Phone (603) 442-5677

289 County Rd
Uppr
Windsor, VT 05089
Phone (802) 674-7062

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.

NameRoleSinceShare
Christopher L Hubble Individual Corporate DirectorBoard of Trustee Jan 1, 2024
Gerard I Duprat Individual Corporate DirectorBoard of Directors Jan 1, 2022
Anna Adachi-Mejia Individual Corporate DirectorBoard of Directors Jan 1, 2023
Jenny Barba Individual Corporate DirectorBoard of Directors Jan 1, 2022
Jennifer S Schiffman Individual Corporate DirectorBoard of Directors Jan 1, 2017
Clayton R Adams Individual Corporate DirectorBoard of Directors Jan 1, 2018
David Duncan Individual Corporate DirectorBoard of Trustee Jan 1, 2022
Charles J Wheelan Individual Corporate DirectorBoard of Directors Jan 1, 2018
Marisa D Devlin Individual Corporate DirectorBoard of Directors Jan 1, 2018
Laura M Greer Individual Corporate DirectorBoard of Directors Jan 1, 2023
Scott W Rodi Individual Corporate DirectorBoard of Directors Jan 1, 2019
Michael T Lynch Individual Corporate OfficerCeo Oct 13, 2025 2%
W-2 Managing Employee Oct 13, 2025
Patrick F Jordan Individual Corporate DirectorBoard of Trustee Jan 1, 2019
Dartmouth-Hitchcock Health Organization, Lebanon, NH Corporation Operational/Managerial Control Mar 1, 2016 100%
Laura Gillespie Individual Corporate DirectorBoard of Directors Jan 1, 2024
H. Sloane Mayor Individual Corporate DirectorBoard of Directors Jan 1, 2022
Tegan Deogburn Individual Corporate DirectorDirector - Mso Dec 6, 2023
Patrici Drew Individual Operational/Managerial ControlManager, Enrollment Ops Sep 1, 2025
Michele Perkins Individual Corporate DirectorBoard of Directors Jan 1, 2025
Cybele M Merrick Individual Corporate DirectorBoard of Directors Jan 1, 2021
Barbara Moore Individual Corporate DirectorDirector of Ar Management Apr 1, 2020
Susan E Mooney Individual Corporate OfficerCeo Oct 1, 2012
W-2 Managing Employee Oct 1, 2012
Courtney Tanner Individual Corporate DirectorBoard of Trustee 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.

Subparts reporting this organization as parent 11

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 284

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.

View all 284

Affiliated clinicians 530

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 530

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1942002274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412447",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412447",
            "telephone_number": "603-629-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662901",
            "telephone_number": "603-448-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "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": "603-308-0081"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.