Healthcare Provider Details

I. General information

NPI: 1326701079
Provider Name (Legal Business Name): THE COMMUNITY COLLEGE SYSTEM OF NEW HAMPSHIRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 COLLEGE DR
CONCORD NH
03301-7425
US

IV. Provider business mailing address

31 COLLEGE DR
CONCORD NH
03301-7425
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-6484
  • Fax: 603-230-9305
Mailing address:
  • Phone: 603-271-6484
  • Fax: 603-230-9305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW FISHER
Title or Position: VICE PRESIDENT OF ACADEMIC AFFAIRS
Credential:
Phone: 603-271-6484