1952450082 NPI number — STATE OF NEW HAMPSHIRE

Table of content: (NPI 1952450082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952450082 NPI number — STATE OF NEW HAMPSHIRE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STATE OF NEW HAMPSHIRE
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:
HAMPSTEAD HOSPITAL
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:
1952450082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
218 EAST ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMPSTEAD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03841-2305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-329-5311
Provider Business Mailing Address Fax Number:
603-329-4746

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
218 EAST ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMPSTEAD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03841-2305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-329-5311
Provider Business Practice Location Address Fax Number:
603-329-4746
Provider Enumeration Date:
01/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HEN
Authorized Official First Name:
MORISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSOCIATE COMMISSIONER
Authorized Official Telephone Number:
603-271-9444

Provider Taxonomy Codes

  • Taxonomy code: 283Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 3134696 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6710824 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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