Basic Information
Provider Information
NPI: 1053549394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON
FirstName: RACHEL
MiddleName: REBECCA
NamePrefix: DR.
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5001
Address2: MEMORIAL HOSPITAL
City: NORTH CONWAY
State: NH
PostalCode: 038605001
CountryCode: US
TelephoneNumber: 6033565461
FaxNumber: 6033565877
Practice Location
Address1: 3073 WHITE MOUNTAIN HWY
Address2: MEMORIAL HOSPITAL
City: NORTH CONWAY
State: NH
PostalCode: 038607101
CountryCode: US
TelephoneNumber: 6033565461
FaxNumber: 6033565877
Other Information
ProviderEnumerationDate: 06/25/2009
LastUpdateDate: 05/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X16070NHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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