| Details | DSH300003 | MARY HITCHCOCK MEMORIAL HOSP | | Disproportionate Share Hospital | One Medical Center Drive |
| LEBANON | NH | 07/01/2022 | | 7/1/2022 12:01 AM |
| Details | HV00812 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | One Medical Center Drive |
| Lebanon | NH | 01/01/2015 | 05/01/2025 | 4/14/2025 10:05 AM |
| Details | HV00812A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part C | Ryan White Part C | 100 Hitchcock Way |
| Manchester | NH | 07/01/2016 | 04/01/2023 | 4/1/2023 12:01 AM |
| Details | HV00812B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Bedford Clinic, Ryan White Part C | Ryan White Part C | 5 Washington Place |
| Bedford | NH | 07/01/2016 | 05/01/2025 | 4/14/2025 10:06 AM |
| Details | HV00812C | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part C | Ryan White Part C | 2300 Southwood Drive |
| Nashua | NH | 07/01/2016 | 05/01/2025 | 4/14/2025 10:06 AM |
| Details | HV00812D | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part C | Ryan White Part C | 580 Court Street |
| Keene | NH | 04/01/2023 | 05/01/2025 | 4/14/2025 10:05 AM |
| Details | RRC300003-00 | MARY HITCHCOCK MEMORIAL HOSPITAL | | Rural Referral Center | ONE MEDICAL CENTER DRIVE |
| LEBANON | NH | 04/01/2022 | 07/01/2022 | 7/1/2022 12:01 AM |
| Details | RW424881 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | One Medical Center Drive |
| Lebanon | NH | 01/01/2015 | 01/01/2018 | 1/1/2018 12:00 AM |
| Details | RW424881 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | One Medical Center Drive |
| Lebanon | NH | 10/01/2018 | 01/01/2019 | 1/1/2019 12:05 AM |
| Details | RW424881A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part D | Ryan White Part D | 100 Hitchcock Way |
| Manchester | NH | 07/01/2016 | 01/01/2019 | 1/1/2019 12:05 AM |
| Details | RW424881B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part D | Ryan White Part D | 2300 Southwood Drive |
| Nashua | NH | 07/01/2016 | 01/01/2019 | 1/1/2019 12:05 AM |
| Details | RW424881C | Mary Hitchcock Memorial Hospital dba Ryan White Program | D-H Specialty Care at Bedford Medical Park, Ryan White Part D | Ryan White Part D | 5 Washington Place |
| Bedford | NH | 07/01/2016 | 01/01/2019 | 1/1/2019 12:05 AM |
| Details | RW431112 | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Nashua, Ryan White Part D | Ryan White Part D | 2300 Southwood Drive |
| Nashua | NH | 01/01/2019 | 09/01/2023 | 10/18/2023 7:21 AM |
| Details | RW431112A | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | One Medical Center Drive |
| Lebanon | NH | 01/01/2019 | 09/01/2023 | 10/18/2023 7:20 AM |
| Details | RW431112B | Mary Hitchcock Memorial Hospital dba Ryan White Program | Dartmouth-Hitchcock Manchester, Ryan White Part D | Ryan White Part D | 100 Hitchcock Way |
| Manchester | NH | 01/01/2019 | 04/01/2023 | 4/1/2023 12:01 AM |
| Details | RW431112C | Mary Hitchcock Memorial Hospital dba Ryan White Program | Bedford Clinic, Ryan White Part D | Ryan White Part D | 5 Washington Place |
| Bedford | NH | 01/01/2019 | 09/01/2023 | 10/18/2023 7:19 AM |
| Details | RW431112D | Mary Hitchcock Memorial Hospital dba Ryan White Program | Ryan White Part D | Ryan White Part D | 580 Court Street |
| Keene | NH | 04/01/2023 | 09/01/2023 | 10/18/2023 7:21 AM |