1689764912 NPI number — CONCORD HOSPITAL-FRANKLIN

Table of content: (NPI 1689764912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689764912 NPI number — CONCORD HOSPITAL-FRANKLIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONCORD HOSPITAL-FRANKLIN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CONCORD HOSPITAL PRIMARY CARE-FRANKLIN
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689764912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 678
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LACONIA
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03247-0678
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-934-2060
Provider Business Mailing Address Fax Number:
603-527-7038

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 AIKEN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03235-1259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-934-4259
Provider Business Practice Location Address Fax Number:
603-934-1219
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SLOANE
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
W
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
603-227-7000

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3127835 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: LRGH703507 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 59780 . This is a "CIGNA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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