Healthcare Provider Details

I. General information

NPI: 1720444714
Provider Name (Legal Business Name): COUNTY OF CHESHIRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 01/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WEST ST
KEENE NH
03431-3361
US

IV. Provider business mailing address

12 COURT ST
KEENE NH
03431-3402
US

V. Phone/Fax

Practice location:
  • Phone: 603-355-0157
  • Fax: 603-355-3000
Mailing address:
  • Phone: 603-355-0154
  • Fax: 603-355-3000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. SHERYL TROMBLY
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 603-355-3036