1417048869 NPI number — UNIVERSITY SYSTEM OF NEW HAMPSHIRE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417048869 NPI number — UNIVERSITY SYSTEM OF NEW HAMPSHIRE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY SYSTEM 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:
Provider Other Organization Name Type Code:
6
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:
1417048869
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 GARRISON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03824-2334
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-862-0352
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 LIBRARY WAY
Provider Second Line Business Practice Location Address:
183 HEWITT HALL
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03824-3520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-862-2901
Provider Business Practice Location Address Fax Number:
603-862-4511
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COTTER
Authorized Official First Name:
DIANE
Authorized Official Middle Name:
JONES
Authorized Official Title or Position:
SENIOR CONTRACT OFFICER
Authorized Official Telephone Number:
603-862-0951

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X , with the licence number:  02600937 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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