1700947298 NPI number — AREA AGENCY OF GREATER NASHUA, INC.

Table of content: (NPI 1700947298)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700947298 NPI number — AREA AGENCY OF GREATER NASHUA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AREA AGENCY OF GREATER NASHUA, INC.
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:
GATEWAYS COMMUNITY SERVICES
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:
1700947298
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
144 CANAL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHUA
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03064-2812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-882-6333
Provider Business Mailing Address Fax Number:
603-889-5460

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
144 CANAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHUA
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03064-2812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-882-6333
Provider Business Practice Location Address Fax Number:
603-889-5460
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LANDRY
Authorized Official First Name:
MARY
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER/SUPERVISOR
Authorized Official Telephone Number:
603-459-2795

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QA0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 99590026 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3071948 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 60000006 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99560056 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30531915 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99590006 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3076643 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99560026 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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