Northern New Hampshire Healthcare Collaborative Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

02626 Issued in NH

Legal business name

NORTHERN NEW HAMPSHIRE HEALTHCARE COLLABORATIVE INC

Practice address

278 Main St
Lancaster, NH 03584-3039

Phone

(800) 750-2366

Fax

(603) 788-5279

NPI assigned

Nov 26, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott W Howe

Title

Chief Executive Officer

Phone

(603) 788-5030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NORTHWOODS HOME HEALTH & HOSPICE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1376973511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703531",
            "telephone_number": "603-326-5625",
            "fax_number": "603-752-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MAIN ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843039",
            "telephone_number": "800-750-2366",
            "fax_number": "603-788-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW HAMPSHIRE HEALTHCARE COLLABORATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "603-788-5030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NH",
            "license": "02626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA353853",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095504",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWOODS HOME HEALTH & HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Ann Moore, APRN-CNS, PMHNP-BC
• Mark Alfred Morgan, MD
• Nathan H Drum
• Lars Erling Nielson, MD
• Kate Elizabeth Noel, APRN, PMHNP
• Northern New Hampshire Healthcare Collaborative Inc
• Maude Oetking, MD
• Amanda Reardon
• Gary M Rexford, L.AC.
• Evelyn Robbennolt-Jones, LICSW

• All providers in Lancaster, NH
• Community Based Hospice Care Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.