Provider Demographics
NPI:1821266578
Name:COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC.
Entity Type:Organization
Organization Name:COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:603-225-3295
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-1016
Mailing Address - Country:US
Mailing Address - Phone:603-225-3295
Mailing Address - Fax:603-228-1898
Practice Address - Street 1:121 BELMONT RD
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3725
Practice Address - Country:US
Practice Address - Phone:603-524-5453
Practice Address - Fax:603-528-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No124Q00000XDental ProvidersDental HygienistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99908448Medicaid