DARTMOUTH-HITCHCOCK CLINIC
NPI 1124681846
Clinic/Center - Rehabilitation, Substance Use Disorder in Lebanon, NH
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dartmouth-hitchcock Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,995Medicare enrollment records show 2,995 clinicians reassign Medicare billing to Dartmouth-Hitchcock Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 522 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 69
Nearest to this location (20)
See all 2,995Lebanon, NH 03766
Lebanon, NH 03766
Lebanon, NH 03756
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NHFrequently 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.
Is Dartmouth-Hitchcock Clinic enrolled in Medicare?
Yes. Dartmouth-Hitchcock Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dartmouth-Hitchcock Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,995 clinicians in 69 Medicare specialties reassign their Medicare billing to Dartmouth-Hitchcock Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (556), Internal Medicine (242) and Certified Registered Nurse Anesthetist (CRNA) (212). Of these, 3 practice at this address and 522 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dartmouth-Hitchcock Clinic · NPI 1124681846
Rehabilitation, Substance Use Disorder organization in Lebanon, New Hampshire. Organization record, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1124681846 (Entity type: Organization)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** The Doorway at Dartmouth-Hitchcock Lebanon (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Daniel Jantzen, CFO
## Practice location
- **Address:** 85 MECHANIC ST STE B3-1, Lebanon, NH 03766-1537
- **Phone:** (603) 653-1860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,995 clinicians in 69 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (556), Internal Medicine (242), Certified Registered Nurse Anesthetist (CRNA) (212); 3 practice at this address and 522 within 10 miles; [full list](https://npiprofile.com/npi/1124681846/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124681846) · Data from the CMS NPPES public registry.