MANCHESTER CBOC (NPI# 1902847593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902847593 |
| Entity Type | Organization |
| Organization Name | MANCHESTER CBOC |
| Practice Address |
718 Smyth Rd Manchester NH 03104-7004 |
| Practice Telephone | 6036244366 |
| Practice Fax Number | 6036266503 |
| Mailing Telephone | 6036244366 |
| Mailing Fax Number | 6036266503 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 2022540339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Street Address |
718 SMYTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487585 | Manchester Vamc | Clinic/Center | 5 Terrascape Pkwy, Somersworth, NH 03878-1115 | 2006-12-29 |
| 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 |
| 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 | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on MANCHESTER CBOC.
| 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.