Organization
COUNTY OF MERRIMACK
Active
Other names
Merrimack County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI A SHIBINETTE RN,MBA,NHA (ADMINISTRATOR)
(603) 796-2165
Entity
Organization
Contact information
Practice address
325 DANIEL WEBSTER HWY, BOSCAWEN, NH 03303-2410
(603) 796-2165
(603) 796-3269
Mailing address
325 DANIEL WEBSTER HWY, BOSCAWEN, NH 03303-2410
(603) 796-2165
(603) 796-3269
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
314000000X
Skilled Nursing Facility
Primary
03351
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071571
—
NH
05
—
3078723
—
NH
01
—
5BT
ANTHEM BLUE CROSS BLUE SHIELD
NH
01
—
RE6251
NGS
NH
Enumeration date
06/24/2005
Last updated
06/22/2016
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