1467485870 NPI number — NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY PA

Table of content: (NPI 1467485870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467485870 NPI number — NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY PA
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:
1467485870
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 KIMBALL DR UNIT 125
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOOKSETT
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03106-2604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-622-6484
Provider Business Mailing Address Fax Number:
603-647-8593

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 PLEASANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03301-7559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-622-6484
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CARIGNAN
Authorized Official First Name:
SARAH
Authorized Official Middle Name:
Authorized Official Title or Position:
IT DIRECTOR
Authorized Official Telephone Number:
603-232-8979

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3072709 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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