STATE OF NEW HAMPSHIRE


Address: 36 Clinton St, Concord, NH 03301-2359
Phone: 6032715383

STATE OF NEW HAMPSHIRE (NPI# 1861491334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861491334
Entity Type Organization
Organization Name STATE OF NEW HAMPSHIRE
Other Organization Name NH HOSPITAL
Practice Address 36 Clinton St
Concord
NH 03301-2359
Practice Telephone 6032715383
Practice Fax Number 6032715845
Mailing Telephone 6032715847
Mailing Fax Number 6032715845
Enumeration Date 2005-07-18
Last Update Date 2010-03-25
Authorized Official Name SHEILA M GAGNON (DIRECTOR OF FINANCIAL SERVICES)
Authorized Official Telephone 6032715847
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 323P00000X Psychiatric Residential Treatment Facility ========= NH Residential Treatment Facilities
Y 283Q00000X Psychiatric Hospital ========= NH Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
NH 30003469 05
NH 30003470 05

Other Provider/Organization Names

Other Name Type Code
NH Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134731185 State of New Hampshire Community Based Residential Treatment Facility, Mental Illness 121 S Fruit St, Concord, NH 03301-2412 2020-08-20
1760477764 State of New Hampshire Nursing Facility/Intermediate Care Facility 393 High St, Glencliff, NH 03238-0076 2005-09-15
1043334626 State of New Hampshire Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 99 Pleasant St, Howard Recreation Center, Concord, NH 03301-3852 2007-03-19
1073561403 State of New Hampshire General Acute Care Hospital 36 Clinton St, Concord, NH 03301-2359 2006-05-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STATE OF NEW HAMPSHIRE TELECOMMUNICATIONS DEPARTMENT 25 Capitol St Rm 405, Concord, NH 03301-6312

Office Location

Street Address 36 CLINTON ST
City CONCORD
State NH
Zip Code 03301-2359

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063013423 Timothy Bailey Nurse Practitioner 36 Clinton St, Concord, NH 03301-2359 2020-11-03
1447868617 Meghan Dumas Farley Nurse Practitioner 36 Clinton St, Concord, NH 03301-2359 2020-07-14
1457800997 Valerie Rice Nurse Practitioner 36 Clinton St, Concord, NH 03301-2359 2016-09-26
1023440252 Samantha Gnanasegaram Psychiatry & Neurology 36 Clinton St, Concord, NH 03301-2359 2013-07-30
1235426578 Aliaksandr Shakhau Psychiatry & Neurology 36 Clinton St, New Hampshire Hospital, Concord, NH 03301-2359 2011-07-07
1518173541 Ann M. Firestine Counselor 36 Clinton St, New Hampshire Hospital, Concord, NH 03301-2359 2007-05-15
1013135110 Barbara Ann Macrae Occupational Therapist 36 Clinton St, Concord, NH 03301-2359 2007-04-23
1407072523 Judith Eileen Kolada Occupational Therapist 36 Clinton St, Concord, NH 03301-2359 2007-04-17
1770603268 Vicki L Clark Occupational Therapy Assistant 36 Clinton St, Concord, NH 03301-2359 2007-03-30
1417083429 Debra Valori Mcquade Psychiatry & Neurology 36 Clinton St, New Hampshire Hospital, Concord, NH 03301-2359 2007-02-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154988483 Kelly Jean O'brien Dental Hygienist Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 2019-05-22
1437640679 Kyle Moore Thorne Nurse Anesthetist, Certified Registered 1 Pillsbury St Ste 202, Concord, NH 03301 2018-05-23
1730688789 Ashley M Pinkham Nurse Practitioner 246 Pleasant St Ste 104, Concord, NH 03301 2018-02-06
1134645831 D & B Medical Logistics LLC Non-emergency Medical Transport (VAN) 119 Old Turnpike Rd, Concord, NH 03301 2017-08-15
1821520727 Julie Haejung Chang Dentist 273 Loudon Rd, Concord, NH 03301 2017-03-30
1407396500 Oakmont Med Solutions Durable Medical Equipment & Medical Supplies 14 Centre Street, Concord, NH 03301 2017-03-08
1407210347 Sherri Jean Perry Nurse Practitioner Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 2016-04-06
1922474428 Optometric Associates of Nh, LLC Optometrist 273 Loudon Road, Suite 7, Concord, NH 03301 2015-08-19
1871969600 Creative Counseling Center, Pllc Counselor 18 Kennedy Lane, Concord, NH 03301 2015-08-16
1376927087 Families In Transition Counselor 9 Odd Fellows Ave, Concord, NH 03301 2015-07-13
Find all providers in zip 03301

Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215962782 John Muir Behavioral Health Psychiatric Hospital 2740 Grant St, Concord, CA 94520-2265 2006-07-12
1396705851 Joan E Cavoli Psychiatric Hospital New Hampshire Hospital, 36 Clinton Street, Concord, NH 03301 2006-03-27
1023325586 New Hampshire Hospital Psychiatric Hospital 105 Pleasant St, Psychiatric Research Center, Main Building, Concord, NH 03301-3852 2010-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972836823 Cambridge Hospital Psychiatric Hospital 1493 Cambridge Avenue, Cambridge, NH 01493 2009-09-10
1952450082 Hampstead Outlook Inc. Psychiatric Hospital 218 East Rd, Hampstead, NH 03841-2305 2007-01-09

Competitor

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City CONCORD
Zip Code 03301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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