Odysseynh

LBN: Odyssey House, Inc.
Odysseynh is an health care organization with primary practice located at 367 Shaker Rd , Canterbury NH 03224-2736. The organization recently has only one registered license in Ambulatory Health Care Facilities / Family Planning, Non-Surgical, which is considered as the primary health care specialty. Odyssey House, Inc. can be contacted via phone (603) 783-7016, or through Johannessen, Erik B. via phone (603) 758-1590.

Contact Information

Primary practice address
367 Shaker Rd Canterbury NH 03224-2736
Phone: (603) 783-7016
Fax: (603) 783-0358
Website:
Map and Directions
Authorized official contact:
Name: Johannessen, Erik B. LICSW
Phone: (603) 758-1590

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X 5564 New Hampshire

Profile Details

NPI number 1912108390
LBN Legal business name Odyssey House, Inc.
DBA Doing business as Odysseynh
Authorized official Johannessen, Erik B. LICSW
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Oct 23rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912108390 NPPES
New Hampshire MEDICAID 30008949

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