DEPARTMENT OF VETERANS AFFAIRS
Long Term Care Hospital
Derry, New Hampshire
Provider NPI: 1417153545
Organization Information:Organization Name: DEPARTMENT OF VETERANS AFFAIRS
Practice Location:
2 CABOT DR DERRY, NH 03038 US
Tel: 603-216-2557 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2 CABOT DR DERRY, NH 03038 US
Tel: 603-216-2557 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | MA | 182934 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NURSING LICENSE | 182934 | MA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin