=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932345683
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF NASHUA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2008
-----------------------------------------------------
Last Update Date | 11/23/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18 MULBERRY ST
-----------------------------------------------------
City | NASHUA
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03060-3858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-589-4500
-----------------------------------------------------
Fax | 603-594-3323
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18 MULBERRY ST
-----------------------------------------------------
City | NASHUA
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03060-3858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-589-4500
-----------------------------------------------------
Fax | 603-594-3323
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF PUBLIC HEALTH NURSE/MANAGER
-----------------------------------------------------
Name | MRS. BOBBIE D BAGLEY
-----------------------------------------------------
Credential | RN, MPH
-----------------------------------------------------
Telephone | 603-589-4505
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 04802021
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 03735521
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 00893521
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 04697721
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 05744121
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 04821621
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 05544921
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number | 04260821
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------