MANCHESTER VAMC (NPI# 1215989363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215989363 |
| Entity Type | Organization |
| Organization Name | MANCHESTER VAMC |
| Other Organization Name | CONWAY VA CBOC |
| Practice Address |
71 Hobbs St Conway NH 03818-8109 |
| Mailing Address |
Po Box 3019 Lebanon PA 17042-3019 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conway VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487585 | Manchester Vamc | Clinic/Center | 5 Terrascape Pkwy, Somersworth, NH 03878-1115 | 2006-12-29 |
| 1255399838 | Manchester Vamc | Department of Veterans Affairs (VA) Pharmacy | 718 Smyth Road, Manchester, NH 03104-7004 | 2006-05-03 |
| 1477653731 | Manchester Vamc | General Acute Care Hospital | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-09-25 |
| 1699716035 | Manchester Vamc | Clinic/Center | 630 W Main St, Suite 400, Tilton, NH 03276-5034 | 2006-06-09 |
| 1861439101 | Manchester Vamc | Clinic/Center | 302 Newmarket St, Building 15, Pease Air National Guard Base, Portsmouth, NH 03803-0001 | 2006-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MANCHESTER VAMC #608 | 718 Smyth Rd, Manchester, NH 03104-7007 |
| Street Address |
71 HOBBS ST |
| City | CONWAY |
| State | NH |
| Zip Code | 03818-8109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710811 | Sean Philip Goldman | Social Worker | 71 Hobbs St, Conway, NH 03818-8109 | 2019-06-26 |
| 1821386624 | Celina Moon | Physical Therapist | 71 Hobbs St, Conway, NH 03818-8109 | 2011-07-13 |
| 1255635595 | Mary Opalinski | Speech-Language Pathologist | 71 Hobbs St, Suite 102, Conway, NH 03818-8109 | 2010-12-30 |
| 1265759617 | Lisette Belhumeur | Developmental Therapist | 71 Hobbs St, Suite 102, Conway, NH 03818-8109 | 2010-04-26 |
| 1972672814 | James Pacheco | Emergency Medicine | 71 Hobbs St, Conway, NH 03818-8109 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764020 | Erin Lee Carroll | Physical Medicine & Rehabilitation | Mountain Center Physical Therapy, 37 Main Street, Conway, NH 03818 | 2019-11-14 |
| 1053893909 | Kim Marie Matte | Social Worker | 19 Holly Ridge Lane, Conway, NH 03818 | 2018-09-06 |
| 1861986556 | Cynthia Mcgee | Nurse Practitioner | White Mountain Community Health Center, 298 White Mountain Highway, Conway, NH 03818 | 2018-06-18 |
| 1023562634 | The Lawton West Group LLC | Durable Medical Equipment & Medical Supplies | 34 Crescent Dr., Conway, NH 03818 | 2016-08-11 |
| 1528480902 | Conway Village Dental | Dentist | 21a Poliquin Drive, Conway, NH 03818 | 2014-01-20 |
| 1730528787 | Mother Knows Best Maternity and Recuperative Wellness LLC | Durable Medical Equipment & Medical Supplies | 367 Modock Hill Rd, Conway, NH 03818 | 2013-06-21 |
| 1801175252 | Stevi Gelinas | Massage Therapist | 24 Pleasant St., Conway, NH 03818 | 2011-08-16 |
| 1558518969 | Lifestar Emergency Medical Services LLC | Ambulance | 29 Rt 113 Suite B, Albany, NH 03818 | 2008-08-27 |
| 1477614030 | Cheryl Bildner | Psychologist | 81 Washington Street, Box 2726, Conway, NH 03818 | 2006-12-13 |
| 1154499739 | Eric O Hirschfeld | Dentist | 51a Washington St, Conway, NH 03818 | 2006-12-01 |
| Find all providers in zip 03818 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073821518 | Little Rock Vamc | Clinic/Center | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487585 | Manchester Vamc | Clinic/Center | 5 Terrascape Pkwy, Somersworth, NH 03878-1115 | 2006-12-29 |
| 1124397211 | White River Junction Vamc | Clinic/Center | 640 Marlboro St, Keene, NH 03431-4049 | 2011-12-20 |
| 1104979640 | Littleton Outpatient Clinic | Clinic/Center | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2007-01-19 |
| 1699716035 | Manchester Vamc | Clinic/Center | 630 W Main St, Suite 400, Tilton, NH 03276-5034 | 2006-06-09 |
| 1902847593 | Manchester Cboc | Clinic/Center | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-06-08 |
| 1497794432 | White River Junction Vamc | Clinic/Center | 264 Cottage St, Littleton, NH 03561 | 2006-06-05 |
| 1861439101 | Manchester Vamc | Clinic/Center | 302 Newmarket St, Building 15, Pease Air National Guard Base, Portsmouth, NH 03803-0001 | 2006-06-02 |
Please comment or provide details below to improve the information on MANCHESTER VAMC.
| 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.