Provider Demographics
NPI:1972629582
Name:COUNTY OF ROCKINGHAM
Entity type:Organization
Organization Name:COUNTY OF ROCKINGHAM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-679-9341
Mailing Address - Street 1:117 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03833-6624
Mailing Address - Country:US
Mailing Address - Phone:603-679-5335
Mailing Address - Fax:
Practice Address - Street 1:117 NORTH RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NH
Practice Address - Zip Code:03833-6624
Practice Address - Country:US
Practice Address - Phone:603-679-5335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH105208D00000X, 313M00000X, 314000000X
NH2202261QA0600X
NH02934310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care FacilityGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071581Medicaid
NH49750052Medicaid
NH3081044Medicaid
NH3076690Medicaid
NH30210758Medicaid
NH3059324Medicaid
NH30580934Medicaid
NH30590933Medicaid