CATHOLIC MEDICAL CENTER NPI 1285928259

NPI Information

  • NPI: 1285928259
  • Provider Name: CATHOLIC MEDICAL CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: HEALTH CARE FOR THE HOMELESS PROGRAM
  • Address: 177 LAKE AVE
    MANCHESTER, NH
    ZIP 03103
  • Phone: (603) 782-7414

Map and Directions

Get Directions

NPI Details

CATHOLIC MEDICAL CENTER is a federally qualified health center (fqhc) clinic center in Manchester, NH. CATHOLIC MEDICAL CENTER NPI is 1285928259. The provider is registered as an organization entity type.
The provider Other Name Is Health Care For The Homeless Program.

The provider's business location address is:

177 LAKE AVE
MANCHESTER, NH
ZIP 03103-321
Phone: (603) 782-7414
Fax: (603) 518-8707

The provider's authorized official is Edward Dudley .
The authorized official title is Cfo and has the following contact phone number (603) 663-6180.

The enumeration date for this NPI number is 6/7/2011 and was last updated on 10/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130518396MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI