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UPPER VALLEY SUPPORT GROUP NPI 1336269505


NPI Information

NPI: 1336269505
Provider Name: UPPER VALLEY SUPPORT GROUP
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
12 FLYNN ST
LEBANON, NH
ZIP 03766
Phone: (603) 448-6311
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UPPER VALLEY SUPPORT GROUP is a voluntary or charitable in Lebanon, NH. UPPER VALLEY SUPPORT GROUP NPI is 1336269505. The provider is registered as an organization entity type.

The provider's business location address is:

12 FLYNN ST
LEBANON, NH
ZIP 03766-311
Phone: (603) 448-6311

The provider's authorized official is Philip Norman Eller .
The authorized official title is Executive Director and has the following contact phone number (603) 448-6311.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251V00000XVoluntary or Charitable30531857NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130531857OTHERNEW HAMPSHIREI.D. PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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