NORTHERN HUMAN SERVICES NPI 1700955028

NPI Information

  • NPI: 1700955028
  • Provider Name: NORTHERN HUMAN SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 30D2202942
  • Address: 25 W MAIN ST
    CONWAY, NH
    ZIP 03818
  • Phone: (603) 447-3347

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NPI Details

NORTHERN HUMAN SERVICES is a mental health (including community mental health center) clinic center in Conway, NH. NORTHERN HUMAN SERVICES NPI is 1700955028. The provider is registered as an organization entity type.

The provider's business location address is:

25 W MAIN ST
CONWAY, NH
ZIP 03818-142
Phone: (603) 447-3347

The provider's authorized official is Eric Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (603) 447-3347.

The CLIA number assigned to this NPI record is 30D2202942 - other - network comm clinics with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/24/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13076811MEDICAIDNEW HAMPSHIRE
23086591MEDICAIDNEW HAMPSHIRE
33081387MEDICAIDNEW HAMPSHIRE
43081392MEDICAIDNEW HAMPSHIRE
53072144MEDICAIDNEW HAMPSHIRE
63072053MEDICAIDNEW HAMPSHIRE
73072362MEDICAIDNEW HAMPSHIRE

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: 11/21/2025

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