Organization
SALEM OCCUPATIONAL AND ACUTE CARE
Active
Other names
SALEM OCCUPATIONAL AND ACUTE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
7 STILES RD, SALEM, NH 03079-4881
(603) 898-0961
(603) 898-0964
Mailing address
7 STILES RD, SALEM, NH 03079-4881
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
12178
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007045
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/23/2006
Last updated
08/22/2020
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