Provider Demographics
NPI:1326701079
Name:THE COMMUNITY COLLEGE SYSTEM OF NEW HAMPSHIRE
Entity Type:Organization
Organization Name:THE COMMUNITY COLLEGE SYSTEM OF NEW HAMPSHIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF ACADEMIC AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-271-6484
Mailing Address - Street 1:31 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7425
Mailing Address - Country:US
Mailing Address - Phone:603-271-6484
Mailing Address - Fax:603-230-9305
Practice Address - Street 1:31 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7425
Practice Address - Country:US
Practice Address - Phone:603-271-6484
Practice Address - Fax:603-230-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1124249271Medicaid