THE FAMILY RESOURCE CENTER AT GORHAM (NPI# 1669658092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669658092 |
| Entity Type | Organization |
| Organization Name | THE FAMILY RESOURCE CENTER AT GORHAM |
| Practice Address |
123 Main St Gorham NH 03581-1659 |
| Practice Telephone | 6034665190 |
| Practice Fax Number | 6034669022 |
| Mailing Telephone | 6034665190 |
| Mailing Fax Number | 6034669022 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | PATRICIA STOLTE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6034665190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3123622 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Main St, Berlin, NH 035702416 | 6037522511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265858104 | The Family Resource Center At Gorham | In Home Supportive Care | 123 Main St, Gorham, NH 03581-1659 | 2014-03-17 |
| Street Address |
123 MAIN ST |
| City | GORHAM |
| State | NH |
| Zip Code | 03581-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729633 | Tina Marie Holmes | Community/Behavioral Health | 123 Main St, Gorham, NH 03581-1659 | 2020-01-09 |
| 1265858104 | The Family Resource Center At Gorham | In Home Supportive Care | 123 Main St, Gorham, NH 03581-1659 | 2014-03-17 |
| 1588832000 | Gorham Randolph Shelburne Cooperative | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1851569388 | Dummer School District | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1295903722 | Milan School District | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1376711804 | Errol School District | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992100093 | Mohammed Beshir | Community/Behavioral Health | 20 Van Vliet Dr, Gorham, ME 04038-1200 | 2014-10-31 |
| 1730729633 | Tina Marie Holmes | Community/Behavioral Health | 123 Main St, Gorham, NH 03581-1659 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574837 | Seacoast Pathways | Community/Behavioral Health | 155 Brewery Ln Ste 102, Portsmouth, NH 03801-4995 | 2020-10-01 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1497375323 | Downetown Behavioral Health | Community/Behavioral Health | 1 Mill Plz, Laconia, NH 03246-3438 | 2020-04-21 |
| 1790248193 | Mt. Washington Valley Supports Recovery Coalition | Community/Behavioral Health | 1620 East Main St, Center Conway, NH 03813 | 2019-04-11 |
| 1881153948 | Pause Counseling, LLC | Community/Behavioral Health | 202 Main St Ste 102104, Salem, NH 03079-3170 | 2019-03-18 |
| 1225502305 | Reality Check, Inc | Community/Behavioral Health | 17 Turnpike Rd, Jaffrey, NH 03452-6691 | 2019-01-11 |
| 1659879500 | New Paths Counseling and Recovery Services | Community/Behavioral Health | 25 Lowell St Ste 203, Manchester, NH 03101-1647 | 2018-01-25 |
| 1760996433 | Balance Recovery Center LLC | Community/Behavioral Health | 60 Main St Ste 103, Nashua, NH 03060-2720 | 2017-11-16 |
| 1033622352 | Noreen Daly-eytel, Lcmhc | Community/Behavioral Health | 20 Mary E Clark Dr Ste 6a, Hampstead, NH 03841-2292 | 2017-11-08 |
| 1053866020 | Living In Harmony Nh LLC | Community/Behavioral Health | 118 Sandown Rd, Chester, NH 03036-4239 | 2016-08-19 |
| 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.