Provider Demographics
NPI:1366445090
Name:COUNTY OF CHESHIRE
Entity type:Organization
Organization Name:COUNTY OF CHESHIRE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:TROMBLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-355-3036
Mailing Address - Street 1:12 COURT ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3402
Mailing Address - Country:US
Mailing Address - Phone:603-355-0154
Mailing Address - Fax:603-355-3000
Practice Address - Street 1:201 RIVER RD
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:NH
Practice Address - Zip Code:03467-4410
Practice Address - Country:US
Practice Address - Phone:603-399-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00084313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010973Medicaid
NH30010206Medicaid
NH80848085Medicaid
NH30590545Medicaid
NH80848085Medicaid
NH80848085Medicaid