MANCHESTER VAMC (NPI# 1154487585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154487585 |
| Entity Type | Organization |
| Organization Name | MANCHESTER VAMC |
| Other Organization Name | SOMERSWORTH VA CBOC |
| Practice Address |
5 Terrascape Pkwy Somersworth NH 03878-1115 |
| Mailing Address |
Po Box 3019 Lebanon PA 17042-3019 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Somersworth VA CBOC | Other Name - Individual/Organization |
| SOMERSWORTH VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989363 | Manchester Vamc | Clinic/Center | 71 Hobbs St, Conway, NH 03818-8109 | 2006-05-17 |
| 1255399838 | Manchester Vamc | Department of Veterans Affairs (VA) Pharmacy | 718 Smyth Road, Manchester, NH 03104-7004 | 2006-05-03 |
| 1477653731 | Manchester Vamc | General Acute Care Hospital | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-09-25 |
| 1699716035 | Manchester Vamc | Clinic/Center | 630 W Main St, Suite 400, Tilton, NH 03276-5034 | 2006-06-09 |
| 1861439101 | Manchester Vamc | Clinic/Center | 302 Newmarket St, Building 15, Pease Air National Guard Base, Portsmouth, NH 03803-0001 | 2006-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MANCHESTER VAMC #608 | 718 Smyth Rd, Manchester, NH 03104-7007 |
| Street Address |
5 TERRASCAPE PKWY |
| City | SOMERSWORTH |
| State | NH |
| Zip Code | 03878-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207395 | Foojan Ghahramani | Counselor | Hcrc, 200 Nh-108, Somersworth, NH 03878 | 2019-07-19 |
| 1649760422 | Tanya Lee Thompson | Counselor | 200 Nh-108, Somersworth, NH 03878 | 2018-05-16 |
| 1427588177 | Tri City Counseling | Clinic/Center | 150 West High St, Somersworth, NH 03878 | 2017-06-15 |
| 1952780405 | Stephanie Slate | Dentist | 158c Route 108, Somersworth, NH 03878 | 2015-05-29 |
| 1528446085 | Ann F Fisher | Nurse Practitioner | 296 Maine St, Haverhilll, MA 03878 | 2015-05-15 |
| 1235567264 | Wentworth Surgery Center, LLC | Clinic/Center | 6 Works Way, Somersworth, NH 03878 | 2013-10-30 |
| 1255601241 | Seacoast Business & Health Clinic Inc | Physical Therapist | 396 High St Ste 1, Seacoast Redicare, Somersworth, NH 03878 | 2012-01-06 |
| 1043505209 | Matthew Donohue | Physical Therapist | 7 Marsh Brook Drive, Suite 101, Somersworth, NH 03878 | 2011-06-16 |
| 1013050558 | Elizabeth Nelson | Registered Nurse | Goodwin Community Health 311 Route 108, Somersworth, NH 03878 | 2007-02-15 |
| 1811057581 | William C Brewster | Internal Medicine | 396 High Street, Seacoast Redicare, Somersworth, NH 03878 | 2006-12-11 |
| Find all providers in zip 03878 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989363 | Manchester Vamc | Clinic/Center | 71 Hobbs St, Conway, NH 03818-8109 | 2006-05-17 |
| 1124397211 | White River Junction Vamc | Clinic/Center | 640 Marlboro St, Keene, NH 03431-4049 | 2011-12-20 |
| 1104979640 | Littleton Outpatient Clinic | Clinic/Center | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2007-01-19 |
| 1699716035 | Manchester Vamc | Clinic/Center | 630 W Main St, Suite 400, Tilton, NH 03276-5034 | 2006-06-09 |
| 1902847593 | Manchester Cboc | Clinic/Center | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-06-08 |
| 1497794432 | White River Junction Vamc | Clinic/Center | 264 Cottage St, Littleton, NH 03561 | 2006-06-05 |
| 1861439101 | Manchester Vamc | Clinic/Center | 302 Newmarket St, Building 15, Pease Air National Guard Base, Portsmouth, NH 03803-0001 | 2006-06-02 |
| City | SOMERSWORTH |
| Zip Code | 03878 |
Please comment or provide details below to improve the information on MANCHESTER VAMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.