Provider Demographics
NPI:1871669234
Name:NFI NORTH, INC
Entity Type:Organization
Organization Name:NFI NORTH, INC
Other - Org Name:MIDWAY SHELTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-746-7550
Mailing Address - Street 1:PO BOX 417
Mailing Address - Street 2:
Mailing Address - City:CONTOOCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03229-0417
Mailing Address - Country:US
Mailing Address - Phone:603-746-7550
Mailing Address - Fax:603-746-7544
Practice Address - Street 1:2554 ROUTE 103
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:NH
Practice Address - Zip Code:03221-3516
Practice Address - Country:US
Practice Address - Phone:603-938-5014
Practice Address - Fax:603-938-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4208322D00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH5255OtherSTATE PROVIDER ID
NH30007132Medicaid