Provider Demographics
NPI:1932345683
Name:CITY OF NASHUA
Entity Type:Organization
Organization Name:CITY OF NASHUA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PUBLIC HEALTH NURSE/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPH
Authorized Official - Phone:603-589-4505
Mailing Address - Street 1:18 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3858
Mailing Address - Country:US
Mailing Address - Phone:603-589-4500
Mailing Address - Fax:603-594-3323
Practice Address - Street 1:18 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3858
Practice Address - Country:US
Practice Address - Phone:603-589-4500
Practice Address - Fax:603-594-3323
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF NASHUA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-31
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04260821261QP0905X
NH04802021261QP0905X
NH03735521261QP0905X
NH00893521261QP0905X
NH04697721261QP0905X
NH05744121261QP0905X
NH04821621261QP0905X
NH05544921261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99908424Medicaid
NH99908424Medicaid