DARTMOUTH-HITCHCOCK CLINIC
NPI 1124681846
Clinic/Center - Rehabilitation, Substance Use Disorder in Lebanon, NH

Active since April 18, 2019CLIA 30D2055125 · Waiver
85 MECHANIC ST STE B3-1, LEBANON, NH 03766(603) 653-1860 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2019, Apr 18, 2019 (2 updates tracked since 2019).

About Dartmouth-hitchcock Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARTMOUTH-HITCHCOCK CLINIC (NPI 1124681846), doing business as The Doorway At Dartmouth-hitchcock Lebanon, is a healthcare organization registered as a rehabilitation, substance use disorder in Lebanon, New Hampshire and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Daniel P Jantzen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124681846
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameDARTMOUTH-HITCHCOCK CLINIC
Location Address85 MECHANIC ST STE B3-1Lebanon, NH 03766-1537
Mailing AddressPo Box 810Hanover, NH 03755-0810
Organization SubpartNo
Authorized OfficialDaniel P JantzenCfo · (603) 650-5634
Enumeration DateApril 18, 2019
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1124681846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
85 MECHANIC ST STE B3-1, Lebanon, NH 03766

Other Names 1

Doing Business AsThe Doorway At Dartmouth-hitchcock Lebanon

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2055125

Dartmouth Hitchcock Clinic · Lebanon, NH
Active · expires Mar 5, 2027
CLIA Number30D2055125
Laboratory TypePractitioner Other
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorLuke J. Archibald
Laboratory Phone(603) 653-1860
Laboratory LocationDartmouth Hitchcock Clinic85 Mechanic St, Ste 3b-1, Lebanon, NH 03766
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dartmouth-Hitchcock Clinic's NPI number?

The NPI number for Dartmouth-Hitchcock Clinic is 1124681846. It was assigned to this organization in the NPPES registry on April 18, 2019. The provider is doing business as The Doorway at Dartmouth-Hitchcock Lebanon.

Where is Dartmouth-Hitchcock Clinic located?

Dartmouth-Hitchcock Clinic is located at 85 Mechanic St Ste B3-1, Lebanon, NH 03766. The listed phone number is (603) 653-1860.

What is Dartmouth-Hitchcock Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Dartmouth-Hitchcock Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2055125) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dartmouth-Hitchcock Clinic accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Dartmouth-Hitchcock Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dartmouth-Hitchcock Clinic was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.