COOS COUNTY FAMILY HEALTH SERVICES, INC (NPI# 1275535999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275535999 |
| Entity Type | Organization |
| Organization Name | COOS COUNTY FAMILY HEALTH SERVICES, INC |
| Practice Address |
2 Broadway Ave Gorham NH 03581-1502 |
| Mailing Address |
133 Pleasant St Berlin NH 03570-2006 |
| Practice Telephone | 6034662741 |
| Practice Fax Number | 6034662953 |
| Mailing Telephone | 6037522040 |
| Mailing Fax Number | 6037527797 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | KENNETH GORDON (CEO) |
| Authorized Official Telephone | 6037523669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | NH | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | NH | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | NH | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | NH | Podiatric Medicine & Surgery Service Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
NH | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NH | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3007254 | 05 | |
| MVP HEALTHCARE | 788438 | 01 | |
| AETNA | 5830418 | 01 | |
| NH | 99908646 | 05 | |
| MEDICARE RAILROAD | CN7051 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242054 | Coos County Family Health Services, Inc | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570-2006 | 2005-08-12 |
| 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 |
2 BROADWAY AVE |
| City | GORHAM |
| State | NH |
| Zip Code | 03581-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392096 | Madeleine Bedard-ryan | Podiatrist | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-10 |
| 1124473608 | Ahmad Bin Rashid | Podiatrist | 2 Broadway Ave, Gorham, NH 03581-1502 | 2016-05-03 |
| 1760613152 | Grazyna Galicka-piskorska | Internal Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2009-08-03 |
| 1891709093 | William Jay Gessner | Family Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2006-07-27 |
| 1083665715 | Alice Mclane | Nurse Practitioner | 2 Broadway Ave, Gorham, NH 03581-1502 | 2006-05-15 |
| 1730166174 | Kimberly Gallant | Physician Assistant | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-12-28 |
| 1740272517 | Donald Kernan | Emergency Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-18 |
| 1538161450 | John Mcdowell | Emergency Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-11 |
| 1487656351 | Thomas Temme | Family Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-11 |
| 1104828979 | Brian Beals | Pediatrics | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456530 | Amy Lynn Galipeau | Hearing Instrument Specialist | 20 Glen Rd, Gorham, NH 03581 | 2012-08-14 |
| 1003070855 | Derek C Eastman | Physical Therapist | 38 Alpine Street, Gorham, NH 03581 | 2008-07-10 |
| 1003097668 | Todd Butler | Speech-Language Pathologist | 6 Howland Avenue, Gorham, NH 03581 | 2007-11-23 |
| 1235354978 | Nancy Gordon | Physical Therapist | 25 Mt. Carter Road, Gorham, NH 03581 | 2007-04-16 |
| 1740282136 | Sherrill Tracy | Family Medicine | 2 Broadway Street, Gorham, NH 03581 | 2005-08-15 |
| 1073040234 | Maryanne Eileen Christiansen | Physician Assistant | 2 Broadway Street, Gorham, NH 03581 | 2017-05-18 |
| 1720157225 | Town of Gorham | Ambulance | 347 Main St, Gorham, NH 03581 | 2006-11-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1003030552 | Jessica Cunningham | Specialist | 10 Madison Ave, Gorham, NH 03581-1107 | 2007-04-13 |
| 1568974996 | Kyle Matthew Boisselle | Specialist/Technologist | 18 Jewel St, Gorham, NH 03581-1211 | 2017-10-25 |
| Find all providers in zip 03581 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
| 1265936322 | Harbor Homes, Inc. | Clinic/Center | 10-12 Amherst St., Nashua, NH 03064 | 2018-03-22 |
| 1295287761 | Greater Seacoast Community Health | Clinic/Center | 146 Lafayette Rd, Seabrook, NH 03874-4510 | 2016-10-31 |
| 1881978658 | Greater Seacoast Community Health | Clinic/Center | 600 Lafayette Rd, Portsmouth, NH 03801-5435 | 2011-09-28 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 1982821765 | Ammonoosuc Community Health Services, Inc | Clinic/Center | 333 Nhroute 25, Warren, NH 03279-4431 | 2007-04-20 |
| 1942215819 | Catholic Medical Center | Clinic/Center | 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 | 2006-07-29 |
| Find all providers with the same taxonomy | ||||
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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.