Provider Demographics
NPI:1689860306
Name:ROCKINGHAM FAMILY HEALTHCARE COLLABORATIVE INC.
Entity Type:Organization
Organization Name:ROCKINGHAM FAMILY HEALTHCARE COLLABORATIVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:DITULIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-362-4444
Mailing Address - Street 1:58 ISLAND POND RD
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2128
Mailing Address - Country:US
Mailing Address - Phone:603-362-4444
Mailing Address - Fax:
Practice Address - Street 1:58 ISLAND POND RD
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811-2128
Practice Address - Country:US
Practice Address - Phone:603-362-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0225422303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty