1619972296 NPI number — NEWFOUND AREA NURSING ASSOCIATION

Table of content: DR. HOWARD STEPHEN BERGER MD (NPI 1477681153)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619972296 NPI number — NEWFOUND AREA NURSING ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWFOUND AREA NURSING 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:
1619972296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
214 LAKE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRISTOL
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03222-3572
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-744-2733
Provider Business Mailing Address Fax Number:
603-744-9175

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
214 LAKE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRISTOL
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03222-3572
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-744-2733
Provider Business Practice Location Address Fax Number:
603-744-9175
Provider Enumeration Date:
06/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ROSENE
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
A
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
603-744-2733

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  01281 , 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)

  • Identifier: 3077870 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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