AMOSKEAG HEALTH (NPI# 1295112530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295112530 |
| Entity Type | Organization |
| Organization Name | AMOSKEAG HEALTH |
| Other Organization Name | CHILD HEALTH SERVICES |
| Practice Address |
1245 Elm St Manchester NH 03101-1308 |
| Mailing Address |
145 Hollis St Manchester NH 03101-1235 |
| Practice Telephone | 6036269500 |
| Practice Fax Number | 6036260899 |
| Mailing Telephone | 6036269500 |
| Mailing Fax Number | 6036260899 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | KRISTEN MCCRACKEN (PRESIDENT CEO) |
| Authorized Official Telephone | 6036269500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3100650 | 05 | |
| NH | MEDICARE | 301829 | 01 |
| NH | MEDICARE PTAN | RE2627 | 01 |
| Other Name | Type Code |
|---|---|
| Child Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1457744898 | Amoskeag Health | Clinic/Center | 1245 Elm St, Manchester, NH 03101-1308 | 2015-03-10 |
| 1699012492 | Amoskeag Health | Clinic/Center | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2013-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AMOSKEAG HEALTH | 145 Hollis St, Manchester, NH 03101-1235 |
| Street Address |
1245 ELM ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382676 | Kimberly Anne Lovely | Dietitian, Registered | 1245 Elm St, Manchester, NH 03101-1308 | 2006-10-20 |
| 1912544297 | Kayla Kenney | Social Worker | 1245 Elm St, Manchester, NH 03101-1308 | 2019-12-05 |
| 1558845669 | Clarissa D. Lewis | Optometrist | 1245 Elm St, Manchester, NH 03101-1308 | 2018-09-25 |
| 1053812735 | Stephanie F Prantis | Social Worker | 1245 Elm St, Manchester, NH 03101-1308 | 2018-02-27 |
| 1205337979 | Kaitlyn Croteau | Social Worker | 1245 Elm St, Manchester, NH 03101-1308 | 2018-02-27 |
| 1245731926 | Susan M Zankel | Social Worker | 1245 Elm St, Manchester, NH 03101-1308 | 2018-02-27 |
| 1407390057 | Caralyn Macek | Dietitian, Registered | 1245 Elm St, Manchester, NH 03101-1308 | 2016-12-15 |
| 1457744898 | Amoskeag Health | Clinic/Center | 1245 Elm St, Manchester, NH 03101-1308 | 2015-03-10 |
| 1023411865 | Sarah Bernier | Social Worker | 1245 Elm St, Manchester, NH 03101-1308 | 2014-10-08 |
| 1154762110 | Catheryn R Burchett | Social Worker | 1245 Elm St, Manchester, NH 03101-1308 | 2013-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 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 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on AMOSKEAG HEALTH.
| 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.