| Organization Name: | UPPER CONNECTICUT VALLEY HOSPITAL |
| NPI Number: | 1063850345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA FRIZZELL (CONTROLLER) |
| Mailing Address: | 181 Corliss Ln Colebrook |
| State: | NH US |
| Postal Code: | 035763207 |
| Phone Number: | 6032374971 |
| Fax Number: | 6032374452 |
| NPI Enumeration Date: | 06/10/2013 |
| NPI Last Update Date: | 06/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 00592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |