Provider Demographics
NPI:1922322015
Name:TECH MED INC OF HUDSON NH
Entity Type:Organization
Organization Name:TECH MED INC OF HUDSON NH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-595-8717
Mailing Address - Street 1:114 PERIMETER RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1335
Mailing Address - Country:US
Mailing Address - Phone:603-595-8717
Mailing Address - Fax:603-595-5970
Practice Address - Street 1:114 PERIMETER RD UNIT F
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1335
Practice Address - Country:US
Practice Address - Phone:603-595-8717
Practice Address - Fax:603-595-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02997332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80001084OtherMEDICAID
0138530001Medicare NSC