Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mary Hitchcock Memorial Hospital

General Acute Care Hospital in Lebanon, NH · enumerated 2005 · authorized official Daniel Jantzen, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023092053

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Registry record

Entity type Organization (Type 2)

Legal business name Mary Hitchcock Memorial Hospital

Practice address One Medical Center Dr, Lebanon, NH, 03756

Phone (603) 650-5000

Enumeration date Dec 2, 2005

Last updated in NPPES Aug 12, 2021

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 01799 (NH) Secondary

261QE0002X Emergency Care Clinic/Center Ambulatory Health Care Facilities · License 01799 (NH) Secondary

261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities · License 01799 (NH) Secondary

273R00000X Psychiatric Hospital Unit Hospital Units · License 01799 (NH) Secondary

282N00000X General Acute Care Hospital Hospitals · License 01799 (NH) Primary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 01799 (NH) Secondary

3416A0800X Air Ambulance Transportation Services · License 0296 (NH) Secondary

3416A0800X Air Ambulance Transportation Services · License 0920 (VT) Secondary

3416L0300X Land Ambulance Transportation Services Secondary

Authorized official

Name Daniel Jantzen

Title Chief Financial Officer

Phone (603) 650-5668

Other identifiers

Identifier	Type	State	Issuer
0RE2206	Medicaid	VT	-
80300003	Medicaid	NH	-
80300900	Medicaid	NH	-
CD9167	Other	NH	RAILROAD MEDICARE
0300003	Medicaid	VT	-
0300900	Medicaid	VT	-
3076533	Medicaid	NH	-
30005466	Medicaid	NH	-
DE1531	Other	VT	RAILROAD MEDICARE
30011095	Medicaid	NH	-
30210001	Medicaid	NH	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-12. Verify at npiregistry.cms.hhs.gov.

Where is Mary Hitchcock Memorial Hospital located?

The practice location on file with NPPES is in Lebanon, NH.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-12.