Organization
STATE OF NEW HAMPSHIRE
Active
Other names
New Hampshire Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GUERTIN (PROGRAM SPECIALILST IV)
(603) 271-5778
Entity
Organization
Contact information
Practice address
36 CLINTON ST, CONCORD, NH 03301-2359
(603) 271-5383
(603) 271-5845
Mailing address
36 CLINTON ST, CONCORD, NH 03301-2359
(603) 271-5847
(603) 271-5845
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
NH
283Q00000X
Psychiatric Hospital
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304001
MED A PROVIDER
NH
05
—
3076701
—
NH
05
—
3079679
—
NH
05
—
3146555
—
NH
Enumeration date
07/18/2005
Last updated
09/25/2025
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