Healthcare Provider Details

I. General information

NPI: 1306962790
Provider Name (Legal Business Name): COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 INDUSTRIAL PARK DR
CONCORD NH
03301-8520
US

IV. Provider business mailing address

PO BOX 1016
CONCORD NH
03302-1016
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-3295
  • Fax: 603-228-1898
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: RALPH LITTLEFIELD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 603-225-3295