MANCHESTER VAMC (NPI# 1477653731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477653731 |
| Entity Type | Organization |
| Organization Name | MANCHESTER VAMC |
| Practice Address |
718 Smyth Rd Manchester NH 03104-7004 |
| Mailing Address |
Po Box 3019 Lebanon PA 17042-3019 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MRS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487585 | Manchester Vamc | Clinic/Center | 5 Terrascape Pkwy, Somersworth, NH 03878-1115 | 2006-12-29 |
| 1215989363 | Manchester Vamc | Clinic/Center | 71 Hobbs St, Conway, NH 03818-8109 | 2006-05-17 |
| 1255399838 | Manchester Vamc | Department of Veterans Affairs (VA) Pharmacy | 718 Smyth Road, Manchester, NH 03104-7004 | 2006-05-03 |
| 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 |
718 SMYTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336404169 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St, Manchester, CT 06040-4131 | 2012-07-09 |
| 1740571397 | Eastern Connectitcut Medical Professionals | General Acute Care Hospital | 71 Haynes St, Suite 1209, Manchester, CT 06040-4131 | 2011-04-29 |
| 1760789143 | Amy Bacon-ford | General Acute Care Hospital | 1 Elliot Way, Manchester, NH 03103-3502 | 2011-02-21 |
| 1649417643 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St., Patient Financial Services, Manchester, CT 06040-4105 | 2009-01-13 |
| 1508080391 | Elliot Hospital | General Acute Care Hospital | 275 Mammoth Rd, Suite 3, Manchester, NH 03109-4133 | 2007-04-12 |
| 1104995281 | Coffee Medical Group LLC | General Acute Care Hospital | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-11-06 |
| 1902996028 | Elliot Hospital of The City of Manchester | General Acute Care Hospital | 1 Elliot Way, Manchester, NH 03103-3502 | 2006-10-13 |
| 1427154335 | Catholic Medical Center | General Acute Care Hospital | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366836694 | Nadine Larochelle | General Acute Care Hospital | 3 Lorraine Dr, Londonderry, NH 03053-6125 | 2015-03-25 |
| 1912335910 | Robert B Dawson IIi | General Acute Care Hospital | 32 Biscayne Pkwy, Nashua, NH 03064-1169 | 2013-10-29 |
| 1609171875 | Nslij Health System | General Acute Care Hospital | 16 Glenwood Ave, Dover, NH 03820-2412 | 2011-01-20 |
| 1437158433 | Exeter Hospital Inc | General Acute Care Hospital | 5 Alumni Drive, Exeter, NH 03833-4831 | 2005-07-20 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1437627411 | Christine Gallup | General Acute Care Hospital | 250 Pleasant St, Concord, NH 03301-7539 | 2018-11-07 |
| 1215397633 | Dartmouth-hitchcock Medical Center | General Acute Care Hospital | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2016-02-26 |
| 1184019804 | New London Hospital Inc | General Acute Care Hospital | 273 County Rd, New London, NH 03257-5736 | 2015-03-31 |
| 1194030395 | Dartmouth Hitchcock Psychiatric Associates | General Acute Care Hospital | 1 Medical Center Dr, 5d, Lebanon, NH 03756-1000 | 2010-08-11 |
| 1346402047 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-06-25 |
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| City | MANCHESTER |
| Zip Code | 03104 |
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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.