Organization Name: | MANCHESTER VAMC |
NPI Number: | 1699716035 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA DUNCAN (EBILLING PROJECT MANAGER) |
Mailing Address: | 630 W Main St Suite 400 Tilton |
State: | NH US |
Postal Code: | 032765034 |
Phone Number: | 7172776565 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |