Organization Name: | ANDROSCOGGIN VALLEY HOSPITAL, INC. |
NPI Number: | 1659418622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL KEENE (CEO) |
Mailing Address: | 3 12th St Berlin |
State: | NH US |
Postal Code: | 035703860 |
Phone Number: | 6037522200 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 02488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |