1972662328 NPI number — COMMUNITY CROSSROADS, INC.

Table of content: DR. ALEXANDER ANTHONY ANSWINE MD (NPI 1811630262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972662328 NPI number — COMMUNITY CROSSROADS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY CROSSROADS, 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:
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:
1972662328
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 COMMERCE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATKINSON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03811-2191
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-893-1299
Provider Business Mailing Address Fax Number:
603-893-5401

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 COMMERCE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATKINSON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-893-1299
Provider Business Practice Location Address Fax Number:
603-893-5401
Provider Enumeration Date:
12/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DILLON
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE DIRECTOR
Authorized Official Telephone Number:
603-893-1299

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251V00000X , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385HR2060X , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X , 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: 60000010 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99560010 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30006118 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99560060 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 99590010 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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