Provider Demographics
NPI:1083277883
Name:ASANA HEALTH PLLC
Entity Type:Organization
Organization Name:ASANA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:603-662-4680
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:CENTER CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03813-0446
Mailing Address - Country:US
Mailing Address - Phone:603-662-4680
Mailing Address - Fax:
Practice Address - Street 1:47 WASHINGTON ST STE 31
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6057
Practice Address - Country:US
Practice Address - Phone:603-662-4680
Practice Address - Fax:855-609-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty