Provider Demographics
NPI: | 1376605774 |
---|---|
Name: | RICHIE MCFARLAND CHILDREN'S CENTER |
Entity type: | Organization |
Organization Name: | RICHIE MCFARLAND CHILDREN'S CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | FINANCE MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHERYL |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | WALENTY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 603-658-6245 |
Mailing Address - Street 1: | 11 SANDY POINT RD |
Mailing Address - Street 2: | |
Mailing Address - City: | STRATHAM |
Mailing Address - State: | NH |
Mailing Address - Zip Code: | 03885-2121 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 603-778-8193 |
Mailing Address - Fax: | 603-778-0388 |
Practice Address - Street 1: | 11 SANDY POINT RD |
Practice Address - Street 2: | |
Practice Address - City: | STRATHAM |
Practice Address - State: | NH |
Practice Address - Zip Code: | 03885-2121 |
Practice Address - Country: | US |
Practice Address - Phone: | 603-778-8193 |
Practice Address - Fax: | 603-778-0388 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-14 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Not Answered | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
Not Answered | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
Not Answered | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
Not Answered | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
Not Answered | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
Not Answered | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
Not Answered | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
Not Answered | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
Not Answered | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NH | 99-560058 | Medicaid |