Organization Name: | ANDROSCOGGIN VALLEY HOSPITAL |
NPI Number: | 1235267451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL KEENE (CEO) |
Mailing Address: | 7 Page Hill Rd Berlin |
State: | NH US |
Postal Code: | 035703531 |
Phone Number: | 6037522200 |
Fax Number: | 6033265832 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 05/06/2008 |
NPI Reactivation Date: | 05/13/2008 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 00050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |