CATHOLIC MEDICAL CENTER ANCILLARY HEALTH SERVICES LLC (NPI# 1205257664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205257664 |
| Entity Type | Organization |
| Organization Name | CATHOLIC MEDICAL CENTER ANCILLARY HEALTH SERVICES LLC |
| Practice Address |
100 Mcgregor St Manchester NH 03102-3730 |
| Practice Telephone | 6036683545 |
| Practice Fax Number | 6036638790 |
| Mailing Telephone | 6036683545 |
| Mailing Fax Number | 6036638790 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |
| Authorized Official Name | DR. JOSEPH PEPE (PRESIDENT & CEO) |
| Authorized Official Telephone | 6036636552 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
00646 | NH | Ambulatory Health Care Facilities |
| Street Address |
100 MCGREGOR ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720459282 | Federal Correctional Insitution | Clinic/Center | 805 Fox Hollow Rd, Manchester, KY 40962-7923 | 2015-10-09 |
| 1740573310 | Adams County Hospital | Clinic/Center | 130 Wayne Frye Dr, Manchester, OH 45144-9314 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408020 | Affinity Telehealth LLC | Clinic/Center | 3 Wolfe Ln, Bedford, NH 03110-4342 | 2020-02-05 |
| 1649813528 | Gateway Hills Health Club | Clinic/Center | 100 Innovative Way, Nashua, NH 03062-5748 | 2019-10-23 |
| 1801362900 | Cj Physical Therapy and Wellness, LLC | Clinic/Center | 53 Green St Ste B, Portsmouth, NH 03801-3735 | 2018-10-17 |
| 1225343627 | Nh Army National Guard | Clinic/Center | 1 Minuteman Way, Concord, NH 03301-5607 | 2010-08-10 |
| 1487840542 | Health Stop Inc. | Clinic/Center | 228 Daniel Webster Hwy, Nashua, NH 03060-5537 | 2007-09-21 |
| 1538259866 | Usa Hc Bamberg | Clinic/Center | 7 Northam Dr, Dover, NH 03820-2453 | 2006-10-16 |
| 1376011759 | Ann Giedd, Pllc | Clinic/Center | 413 Stewart Rd, Eaton Center, NH 03832-0183 | 2018-11-05 |
| 1033574058 | Healthy In The Kitchen, LLC | Clinic/Center | 379 State St, Suite 1, Portsmouth, NH 03801-4092 | 2015-12-17 |
| 1760857528 | All Elements Healing Revolution | Clinic/Center | 51 S Main St, Concord, NH 03301-4828 | 2015-12-04 |
| 1598162745 | Orthopedic Massage & Bodywork LLC | Clinic/Center | 14 Manchester Sq Ste 120, Portsmouth, NH 03801-8003 | 2014-12-03 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
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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.