CATHOLIC MEDICAL CENTER


Address: 177 Lake Ave, Manchester, NH 03103-5321
Phone: 6037827414

CATHOLIC MEDICAL CENTER (NPI# 1285928259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285928259
Entity Type Organization
Organization Name CATHOLIC MEDICAL CENTER
Other Organization Name HEALTH CARE FOR THE HOMELESS PROGRAM
Practice Address 177 Lake Ave
Manchester
NH 03103-5321
Mailing Address 195 Mcgregor St
Suite Ll22
Manchester
NH 03102-3748
Practice Telephone 6037827414
Practice Fax Number 6035188707
Mailing Telephone 6036638701
Mailing Fax Number 6036638766
Enumeration Date 2011-06-07
Last Update Date 2020-10-23
Authorized Official Name EDWARD DUDLEY (CFO)
Authorized Official Telephone 6036636180
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NH 30518396 05

Other Provider/Organization Names

Other Name Type Code
Health Care for the Homeless Program Other Name - Individual/Organization
Mobile Community Health Team Project of Catholic Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154984714 Catholic Medical Center Clinic/Center 293 Wilson St Ste 102, Manchester, NH 03103-5021 2019-04-19
1841623527 Catholic Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 100 Mcgregor St # B600a, Manchester, NH 03102-3730 2013-08-16
1942215819 Catholic Medical Center Clinic/Center 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 2006-07-29
1972559904 Catholic Medical Center Internal Medicine 20 Washington Pl, Bedford, NH 03110-6706 2006-05-25
1871930834 Catholic Medical Center Clinical Medical Laboratory 100 Mcgregor St, Manchester, NH 03102-3730 2013-05-31
1750627881 Catholic Medical Center Clinical Medical Laboratory 100 Mcgregor St, Manchester, NH 03102-3730 2012-12-18
1235370057 Catholic Medical Center Surgery 87 Mcgregor St, Suite 3100, Manchester, NH 03102-3765 2009-03-09
1295907533 Catholic Medical Center Internal Medicine 53 Goffstown Rd, Manchester, NH 03102-2737 2008-03-27
1831381987 Catholic Medical Center Internal Medicine 11 Kimball Dr, Hooksett, NH 03106-2603 2007-08-13
1528150273 Catholic Medical Center Psychiatric Unit 100 Mcgregor St, Manchester, NH 03102-3730 2006-09-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CATHOLIC MEDICAL CENTER 100 Mcgregor St, Manchester, NH 03102-3730

Office Location

Street Address 177 LAKE AVE
City MANCHESTER
State NH
Zip Code 03103-5321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669913802 Jo Davidson Counselor 177 Lake Ave, Manchester, NH 03103-5321 2017-03-20
1972987006 Families In Transition Counselor 177 Lake Ave, Manchester, NH 03103 2015-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023583374 Melissa K Bascom Social Worker C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 2018-10-12
1538650650 Bluestone Healthcare Services L.L.C. Physician Assistant Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 2018-05-24
1538662424 Minal Jamkhande Pharmacist 50 S Willow Street, Manchester, NH 03103 2018-03-16
1447776240 Manchester Health Supplies Durable Medical Equipment & Medical Supplies 373 S Willow Street, #328, Manchester, NH 03103 2017-08-14
1184145898 Susan E Herman Physical Therapist 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 2017-07-03
1316476757 Sara Rose Hanrahan Occupational Therapist 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 2017-06-08
1457802811 Holly Ann Cekala Counselor 140 Central St, Manchester, NH 03103 2016-10-20
1114301249 Families In Transition Counselor 282 Belmont St, Manchester, NH 03103 2015-07-18
1083092282 Alexander Michael Jones Family Medicine 4 Elliot Way Ste 105, Manchester, NH 03103 2015-05-08
1518344100 Janiris Ruth Matos Dentist 8 Vinton Street, Dental Clinic, Manchester, NH 03103 2015-05-03
Find all providers in zip 03103

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154984714 Catholic Medical Center Clinic/Center 293 Wilson St Ste 102, Manchester, NH 03103-5021 2019-04-19
1811480403 First Choice Health Centers, Inc. Clinic/Center 150 N Main St Ste 230, Manchester, CT 06042-2086 2018-06-08
1851883458 First Choice Health Centers, Inc. Clinic/Center 227 Middle Turnpike East, Manchester, CT 06040-4261 2018-05-31
1275061269 Grace Community Health Center Inc Clinic/Center 1908 N. Highway 421, Manchester, Manchester, KY 40962-7337 2017-06-02
1548464951 Great Lakes Bay Health Centers Clinic/Center 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 2007-06-12
1942215819 Catholic Medical Center Clinic/Center 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 2006-07-29
1083617013 Amoskeag Health Clinic/Center 145 Hollis St, Manchester, NH 03101-1325 2005-05-23
1861048969 Amoskeag Health Clinic/Center 1555 Elm St, Manchester, NH 03101-1203 2019-08-14
1487022992 Amoskeag Health Clinic/Center 88 Mcgregor St, Manchester, NH 03102-3750 2015-09-14
1962884395 First Choice Health Centers, Inc. Clinic/Center 444 Center St, 3rd Floor, Manchester, CT 06040-3926 2015-06-22
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 03103

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Dataset Information

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.

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