COOS COUNTY FAMILY HEALTH SERVICES, INC (NPI# 1346242054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346242054 |
| Entity Type | Organization |
| Organization Name | COOS COUNTY FAMILY HEALTH SERVICES, INC |
| Practice Address |
133 Pleasant St Berlin NH 03570-2006 |
| Practice Telephone | 6037522040 |
| Practice Fax Number | 6037527797 |
| Mailing Telephone | 6037522040 |
| Mailing Fax Number | 6037527797 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | KENNETH GORDON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6037523669 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NH | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | NH | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NH | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 133V00000X | Dietitian, Registered | NH | Dietary & Nutritional Service Providers | |
| N | 207Q00000X | Family Medicine | NH | Allopathic & Osteopathic Physicians | |
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 207R00000X | Internal Medicine | NH | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | NH | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | CN7051 | 01 | |
| NH | 30007254 | 05 | |
| NH | 99908646 | 05 | |
| NH | MEDICARE B | NH2315 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535999 | Coos County Family Health Services, Inc | Family Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 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 |
133 PLEASANT ST |
| City | BERLIN |
| State | NH |
| Zip Code | 03570-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403238 | Jeanne D Charest | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570-2006 | 2005-08-09 |
| 1770199150 | Heather Lee Beaudry | Registered Nurse | 133 Pleasant St, Berlin, NH 03570-2006 | 2020-09-21 |
| 1487126181 | Pamela Woodburn Comeau | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570 | 2018-12-19 |
| 1588105886 | Krista Potvin | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2017-03-20 |
| 1316319718 | Ali Basha Shaik | Dentist | 133 Pleasant St, Berlin, NH 03570-2006 | 2015-10-24 |
| 1366859274 | Michael Creppy | Family Medicine | 133 Pleasant St, Berlin, NH 03570 | 2014-07-14 |
| 1245662535 | Amy Lucas | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2013-08-08 |
| 1336448414 | Holly B Ramsey | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2011-03-15 |
| 1326204769 | Elaine Margaret Chappell | Family Medicine | 133 Pleasant St, Berlin, NH 03570-2006 | 2008-08-05 |
| 1508027384 | Nicole Eastman | Dietitian, Registered | 133 Pleasant St, Berlin, NH 03570-2006 | 2008-06-24 |
| Find all providers in the same location | ||||
| 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 |
| 1003019837 | Coos County Family Health Services | Dentist | 73 Main Street, Berlin, NH 03570 | 2007-06-08 |
| 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 |
| Find all providers in zip 03570 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285171199 | Three Lower Counties Community Services, Inc. | Clinic/Center | 9956 N Main St, Unit# 2, Berlin, MD 21811-1077 | 2017-01-30 |
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|---|---|---|---|---|
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| 1851916977 | Greater Seacoast Community Health | Clinic/Center | 1 Lafayette Rd Bldg 1, Hampton, NH 03842-2626 | 2020-06-15 |
| 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.