Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mascoma Street Inpatient Services LLC

Organization Hospitalist Physician · NPI 1780137802

Mascoma Street Inpatient Services LLC is a Hospitalist Physician in Lebanon, New Hampshire. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X

Record details

NPI number1780137802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Harris — President · (954) 838-2371
NPI enumeratedJuly 25, 2016
Last updated in NPPESSeptember 10, 2019
Mailing address13737 Noel Rd Ste 1600, Dallas, TX 75240-1374

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