Provider Demographics
NPI:1013210095
Name:SALEM OCCUPATIONAL AND ACUTE CARE
Entity Type:Organization
Organization Name:SALEM OCCUPATIONAL AND ACUTE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:603-898-0961
Mailing Address - Street 1:13 RED ROOF LN STE 2
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2983
Mailing Address - Country:US
Mailing Address - Phone:603-898-0961
Mailing Address - Fax:603-898-0964
Practice Address - Street 1:13 RED ROOF LN STE 2
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2983
Practice Address - Country:US
Practice Address - Phone:603-898-0961
Practice Address - Fax:603-898-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH063837-23261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center