Provider Demographics
NPI:1225343627
Name:NH ARMY NATIONAL GUARD
Entity Type:Organization
Organization Name:NH ARMY NATIONAL GUARD
Other - Org Name:NH ARMY NATIONAL GUARD
Other - Org Type:Other Name
Authorized Official - Title/Position:STATE SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-724-7990
Mailing Address - Street 1:1 MINUTEMAN WAY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 MINUTEMAN WAY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5607
Practice Address - Country:US
Practice Address - Phone:603-624-4366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH999999999261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service