1881791150 NPI number — ANESTHESIA ASSOCIATES PROFESSIONAL ASSOCIATION

Table of content: (NPI 1881791150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881791150 NPI number — ANESTHESIA ASSOCIATES PROFESSIONAL ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTHESIA ASSOCIATES PROFESSIONAL ASSOCIATION
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:
Provider Other Organization Name Type Code:
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:
1881791150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 PILLSBURY ST
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03301-3556
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-224-4776
Provider Business Mailing Address Fax Number:
603-228-2113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 PILLSBURY ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03301-3556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-224-4776
Provider Business Practice Location Address Fax Number:
603-228-2113
Provider Enumeration Date:
09/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PITTS
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
603-224-4776

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 83053110 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100809900 . This is a "US DEPARTMENT OF LABOR" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 50Y31100NH01 . This is a "ANTHEM BCBS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 106 . This is a "CIGNA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 611924 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: CB4380 . This is a "PALEMETTO GBA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".