MANCHESTER VAMC (NPI# 1699716035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699716035 |
| Entity Type | Organization |
| Organization Name | MANCHESTER VAMC |
| Other Organization Name | TILTON VA CBOC |
| Practice Address |
630 W Main St Suite 400 Tilton NH 03276-5034 |
| Mailing Address |
Po Box 3019 Lebanon PA 17042-3019 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-09 |
| 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 |
|---|---|
| Tilton 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 |
| 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 |
| 1477653731 | Manchester Vamc | General Acute Care Hospital | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-09-25 |
| 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 |
630 W MAIN ST SUITE 400 |
| City | TILTON |
| State | NH |
| Zip Code | 03276-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283954 | Annie Maria Taylor I | Psychologist | 630 W Main St, Tilton, NH 03276-5034 | 2020-07-23 |
| 1952324071 | Susan Bayer | Family Medicine | 630 W Main St, Suite 200, Tilton, NH 03276-5044 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262373 | Pranali Amin | Dentist | 17 Lowes Drive, Tilton, NH 03276 | 2014-03-13 |
| 1912329731 | Park Dental Group - Tilton Pllc | Dentist | 17 Lowes Dr, Tilton, NH 03276 | 2014-01-14 |
| 1235368218 | Spaulding Youth Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 130 Shedd Road, Northfield, NH 03276 | 2009-07-10 |
| 1477739175 | Spaulding Youth Center | Community/Behavioral Health | 130 Shedd Rd, Northfield, NH 03276 | 2008-01-14 |
| 1093928558 | Rita Marie Krupa | Physical Therapist | 175 Blueberry Lane, Laconia, NH 03276 | 2007-05-08 |
| 1962622209 | Jean-paul Rabbath, Dmd, Pllc | Dentist | 468 W. Main St, Tilton, NH 03276 | 2007-04-27 |
| 1881814127 | Jean-paul Rabbath | Dentist | 468 West Main St, Tilton, NH 03276 | 2007-04-27 |
| 1811998719 | Amy L Michaud | Optometrist | 39 East Main Street, Tilton, NH 03276 | 2005-08-02 |
| 1427115344 | Sharon Wolf | Counselor | Rand Road, Tilton, NH 03276-0253 | 2007-01-02 |
| 1356977862 | Sarah O Walsh | Home Health Aide | 15 Cottage St, Northfield, NH 03276-1504 | 2020-03-16 |
| Find all providers in zip 03276 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 |
| 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 |
| 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.