NPIMap

Organization Active NPI

Community Council of Nashua, Inc.

  • Health Maintenance Organization
  • Nashua, NH
National Provider Identifier
1891784799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
4716 Issued in NH
Legal business name
COMMUNITY COUNCIL OF NASHUA, INC.
Practice address
7 Prospect St
Nashua, NH 03060-3921
Phone
(603) 889-6147
Fax
(603) 883-1568
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeung H Sohn, M.D.
Title
Medocal Director
Phone
(603) 465-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 4716 NH Primary

Addresses

Primary practice location

7 Prospect St
Nashua, NH 03060-3921

Mailing address

19 Southgate Rd
Hollis, NH 03049-6542
Phone (603) 465-2191

National Provider Directory

National Provider Directory
Tax ID family
Community Council of6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891784799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOUTHGATE RD",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496542",
            "telephone_number": "603-465-2191",
            "fax_number": "603-465-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603921",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNCIL OF NASHUA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "JEUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDOCAL DIRECTOR",
        "authorized_official_telephone_number": "603-465-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NH",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.