GOODWIN COMMUNITY HEALTH NPI 1467436089

NPI Information

NPI: 1467436089
Provider Name: GOODWIN COMMUNITY HEALTH

Former Legal Business Name: AVIS GOODWIN COMMUNITY HEALTH

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
311 ROUTE 108
SOMERSWORTH, NH
ZIP 03878
Phone: (603) 749-2346
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GOODWIN COMMUNITY HEALTH is a community health clinic center in Somersworth, NH. GOODWIN COMMUNITY HEALTH NPI is 1467436089. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Avis Goodwin Community Health.

The provider's business location address is:

311 ROUTE 108
SOMERSWORTH, NH
ZIP 03878-522
Phone: (603) 749-2346
Fax: (603) 953-0066

The provider's authorized official is Janet Marie Atkins .
The authorized official title is Executive Director and has the following contact phone number (603) 956-0063.

The CLIA number assigned to this NPI record is 30D0087053 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2005 and was last updated on 9/26/2012.

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
1	261QD0000X	Clinic/Center	Dental		NEW HAMPSHIRE	No
2	261QC1500X	Clinic/Center	Community Health			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
1	138790101	OTHER	MAINE	MAINECARE FFS
2	301810	MEDICARE OSCAR/CERTIFICATION	NEW HAMPSHIRE
3	RE4369	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
4	138790200	OTHER	MAINE	MAINE CARE
5	99909035	OTHER	MAINE	ME MEDICAID PRIMECARE
6	30011038	MEDICAID	NEW HAMPSHIRE
7	30312977	OTHER	NEW HAMPSHIRE	DENTAL MEDICAID

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: 5/5/2024

NPI Synchronization or Removal

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