Provider Demographics
NPI:1922233766
Name:TRI-COUNTY COMMUNITY ACTION PROGRAM
Entity Type:Organization
Organization Name:TRI-COUNTY COMMUNITY ACTION PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-752-7001
Mailing Address - Street 1:30 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-1911
Mailing Address - Country:US
Mailing Address - Phone:603-323-7645
Mailing Address - Fax:603-323-7647
Practice Address - Street 1:448 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:TAMWORTH
Practice Address - State:NH
Practice Address - Zip Code:03886-4626
Practice Address - Country:US
Practice Address - Phone:603-323-7645
Practice Address - Fax:603-323-7647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty