COOS COUNTY FAMILY HEALTH SERVICES INC. NPI 1427050012

NPI Information

NPI: 1427050012
Provider Name: COOS COUNTY FAMILY HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
59 PAGE HILL RD
BERLIN, NH
ZIP 03570
Phone: (603) 752-2900
Get Directions

COOS COUNTY FAMILY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Berlin, NH. COOS COUNTY FAMILY HEALTH SERVICES, INC. NPI is 1427050012. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

59 PAGE HILL RD
BERLIN, NH
ZIP 03570-531
Phone: (603) 752-2900
Fax: (603) 752-3727

The provider's authorized official is Kenneth Gordon .
The authorized official title is Chief Executive Officer and has the following contact phone number (603) 752-3669.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 1/10/2018.

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 State	Primary
1	207Q00000X	Family Medicine		NEW HAMPSHIRE	No
2	207R00000X	Internal Medicine		NEW HAMPSHIRE	No
3	208000000X	Pediatrics		NEW HAMPSHIRE	No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		Yes
5	363AM0700X	Physician Assistant	Medical	NEW HAMPSHIRE	No
6	363LF0000X	Nurse Practitioner	Family	NEW HAMPSHIRE	No

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
1	788438	OTHER	NEW HAMPSHIRE	MVP HEALTHCARE
2	=========	OTHER		FEDERAL TAX ID#
3	30007254	MEDICAID	NEVADA
4	5830418	OTHER		AETNA GROUP
5	99908646	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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