MASCOMA COMMUNITY HEALTHCARE INC (NPI# 1497298087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497298087 |
| Entity Type | Organization |
| Organization Name | MASCOMA COMMUNITY HEALTHCARE INC |
| Practice Address |
18 Roberts Road Canaan NH 03741 |
| Mailing Address |
Po Box 550 Canaan NH 03741-0550 |
| Practice Telephone | 6035234501 |
| Mailing Telephone | 6035234501 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | MICHAEL SAMSON (FINANCE MANAGER) |
| Authorized Official Telephone | 6035234501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
18 ROBERTS ROAD |
| City | CANAAN |
| State | NH |
| Zip Code | 03741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194739672 | Frederick Keyser Wiese | Internal Medicine | 18 Roberts Road, Canaan, NH 03741 | 2006-07-28 |
| 1942783287 | Karl Wilson Stanford | Nurse Practitioner | 18 Roberts Road, Canaan, NH 03741 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767017 | Town of Canaan | Ambulance | 56 Nh Rt 118, Canaan, NH 03741 | 2019-02-26 |
| 1942792379 | Kathleen Takach | Dentist | Mascoma Community Healthcare, 18 Roberts Road, Canaan, NH 03741 | 2018-06-01 |
| 1972830123 | Elena Michelle Sutfin Vanzandt | Counselor | 44 Roberts Road, Canaan, NH 03741 | 2009-11-09 |
| 1689826299 | Katrina J. Deshaney | Physician Assistant | 18 Roberts Rd, Canaan, NH 03741 | 2008-10-14 |
| 1700808953 | Ann Margaret Laumann | Nurse Practitioner | 1192 Us Rt. 4, Canaan, NH 03741 | 2006-07-24 |
| 1194759084 | Michael J Craig | Orthopaedic Surgery | 55 Cove Rd, Canaan, NH 03741 | 2006-07-10 |
| 1124016514 | Canaan First Aid and Safety Team Inc | Ambulance | Rte 118, Canaan, NH 03741-0035 | 2005-10-10 |
| 1700042728 | Kristen Marie Tobin | Specialist/Technologist | 62 Alumni Dr, Canaan, NH 03741-7210 | 2008-07-29 |
| 1063071397 | Adam Cooper Eckhardt | Registered Nurse | 405 W Farms Rd, Canaan, NH 03741-7514 | 2019-06-11 |
| 1396141933 | Rebekah Eve Carter | Social Worker | 358 Canaan St, Canaan, NH 03741-7622 | 2014-11-10 |
| Find all providers in zip 03741 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345355 | Oi Infusion Services LLC | Clinic/Center | 111 New Hampshire Ave # 2, Portsmouth, NH 03801-2864 | 2020-04-17 |
| 1396373742 | Recover Together, Inc. | Clinic/Center | 155 Main Dunstable Rd Ste 115, Nashua, NH 03060-3640 | 2020-03-31 |
| 1083277883 | Asana Health Pllc | Clinic/Center | 47 Washington St Ste 31, Conway, NH 03818-6057 | 2019-04-17 |
| 1427588177 | Tri City Counseling | Clinic/Center | 150 West High St, Somersworth, NH 03878 | 2017-06-15 |
| 1891102497 | Recover Together, Inc. | Clinic/Center | 50 Bridge St Ste 101, Manchester, NH 03101-1633 | 2014-07-15 |
| 1497364376 | Novella Infusion LLC | Clinic/Center | 111 New Hampshire Ave # 2, Portsmouth, NH 03801-2864 | 2020-07-28 |
| 1669039178 | Blue Heron Neurofeedback and Counseling | Clinic/Center | 3277 White Mountain Hwy, North Conway, NH 03860-5113 | 2019-05-21 |
| 1649757733 | Wentworth-douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-23 |
| 1205361052 | Minimally Invasive Surgery Center of N.e., LLC | Clinic/Center | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2017-04-28 |
| 1073897328 | Tenney Health Associates Pllc | Clinic/Center | 251 Elm St, Unit #3, Claremont, NH 03743-4940 | 2011-10-05 |
| Find all providers with the same taxonomy | ||||
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| 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.