1376516815 NPI number — TOWN OF STRATHAM NH

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 1376516815 NPI number — TOWN OF STRATHAM NH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF STRATHAM NH
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:
1376516815
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 WINNICUTT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STRATHAM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03885-2424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-772-9756
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 WINNICUTT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRATHAM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03885-2424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-772-9756
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CROSBY
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
FRANCES
Authorized Official Title or Position:
EMS CAPTAIN
Authorized Official Telephone Number:
603-772-9756

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0210 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 691913 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0025010 . This is a "NEIGHBORHOOD HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 705050 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 71Y002992NH01 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30822229 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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