COOS COUNTY FAMILY HEALTH SERVICES (NPI# 1003019837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003019837 |
| Entity Type | Organization |
| Organization Name | COOS COUNTY FAMILY HEALTH SERVICES |
| Practice Address |
73 Main Street Berlin NH 03570 |
| Mailing Address |
133 Pleasant Street Berlin NH 03570 |
| Practice Telephone | 6037522424 |
| Practice Fax Number | 6037522436 |
| Mailing Telephone | 6037522040 |
| Mailing Fax Number | 6037521709 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | KENNETH GORDON (CEO) |
| Authorized Official Telephone | 6037523669 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOS COUNTY FAMILY HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 04258 | NH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
01275 | NH | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1275 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30301511 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COOS COUNTY FAMILY HEALTH SERVICES, INC. | 133 Pleasant St, Berlin, NH 03570-2006 |
| Street Address |
73 MAIN STREET |
| City | BERLIN |
| State | NH |
| Zip Code | 03570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351991 | Debra Chen | Psychologist | 1 Success Loop Road, Berlin, NH 03570 | 2019-11-26 |
| 1669826780 | Tri County Community Action Program | Case Management | 30 Exchange St, Berlin, NH 03570 | 2016-04-14 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1932435286 | Kristy May Nadeau | Nutritionist | 457 Forbush Avenue, Berlin, NH 03570 | 2009-10-21 |
| 1477737195 | Gayle M Theberge | Student in an Organized Health Care Education/Training Program | 3 Twelfth Street, Berlin, NH 03570 | 2007-12-18 |
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1508956327 | Judy Marie E Buteau | Social Worker | 292 Pleasant Street, Berlin, NH 03570 | 2006-10-13 |
| 1538254024 | Laurel J Pulsifer | Optometrist | 820 Main Street, Berlin, NH 03570 | 2006-10-03 |
| 1760592778 | William D Foord | Ophthalmology | 60 Pleasant St, Berlin, NH 03570 | 2006-08-30 |
| 1073522793 | Barbara Ellen Coman | Social Worker | 14 Green Square, Berlin, NH 03570 | 2006-08-05 |
| Find all providers in zip 03570 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1215152921 | Michael John Depalma Sr. | Dentist | 500 Franklin Avenue, Unit 3, Berlin, MD 21811 | 2007-04-16 |
| 1861510653 | Gerard Frederick Ott | Dentist | 1 Pitts St, Berlin, MD 21811-1127 | 2007-03-27 |
| 1487791141 | David Harry Schiff | Dentist | 11200 Racetrack Rd Ste A103, Berlin, MD 21811-3809 | 2007-01-31 |
| 1275689119 | Dennis Karl Pezzolesi Jr. | Dentist | 39 Webster Square Rd, Berlin, CT 06037-2326 | 2007-01-25 |
| 1417037276 | Steven Michael Hall | Dentist | 9928 Old Ocean City Blvd, Suite 12, Berlin, MD 21811-1122 | 2006-10-16 |
| 1992890230 | Ajay Soni | Dentist | 68 S White Horse Pike, Berlin, NJ 08009-2324 | 2006-10-03 |
| 1790884443 | Richard Joseph Gawarzewski | Dentist | 3 Harker Avenue, Suite E, Berlin, NJ 08009-2300 | 2006-09-21 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1184731986 | Kevin C Yoder | Dentist | 4913 West Main St., Berlin, OH 44610 | 2006-08-25 |
| Find all providers in BERLIN | ||||
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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.