Provider Demographics
NPI:1467882605
Name:NORTHERN NEW HAMPSHIRE HEALTHCARE COLLABORATIVE INC
Entity Type:Organization
Organization Name:NORTHERN NEW HAMPSHIRE HEALTHCARE COLLABORATIVE INC
Other - Org Name:NORTHWOODS HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-788-5030
Mailing Address - Street 1:59 PAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-3531
Mailing Address - Country:US
Mailing Address - Phone:603-326-5625
Mailing Address - Fax:603-752-1836
Practice Address - Street 1:278 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NH
Practice Address - Zip Code:03584-3039
Practice Address - Country:US
Practice Address - Phone:800-750-2366
Practice Address - Fax:603-788-5279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02518251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3095709Medicaid
NH3095505Medicaid
NHAA345173OtherHARVARD PILGRIM HEALTHCARE
NH307061Medicare Oscar/Certification