| |
117 North Rd Brentwood NH 03833-6624 | |
(603) 679-5335 | |
Not Available |
Full Name | |
---|---|
Speciality | Nursing Facility/Intermediate Care Facility |
Location | 117 North Rd, Brentwood, New Hampshire |
Authorized Official Name and Position | Charles Nickerson (DIRECTOR OF FINANCE) |
Authorized Official Contact | 6036799341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
117 North Rd Brentwood NH 03833-6624 Ph: (603) 679-5335 | 117 North Rd Brentwood NH 03833-6624 Ph: (603) 679-5335 |
NPI Number | 1972629582 |
---|---|
Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/08/2024 |
Medicare PECOS PAC ID | 1951219401 |
---|---|
Medicare Enrollment ID | O20021030000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972629582 | NPI | - | NPPES |
3071581 | Medicaid | NH | |
49750052 | Medicaid | NH | |
3081044 | Medicaid | NH | |
3076690 | Medicaid | NH | |
30210758 | Medicaid | NH | |
3059324 | Medicaid | NH | |
30580934 | Medicaid | NH | |
30590933 | Medicaid | NH |