CATHOLIC MEDICAL CENTER (NPI# 1942215819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942215819 |
| Entity Type | Organization |
| Organization Name | CATHOLIC MEDICAL CENTER |
| Other Organization Name | HEALTH CARE FOR THE HOMELESS PROGRAM |
| Practice Address |
199 Manchester St New Horizons Shelter Manchester NH 03103-5232 |
| Mailing Address |
195 Mcgregor St Suite Ll22 Manchester NH 03102-3748 |
| Practice Telephone | 6036638718 |
| Practice Fax Number | 6036419339 |
| Mailing Telephone | 6036338701 |
| Mailing Fax Number | 6036638766 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | EDWARD DUDLEY (CFO) |
| Authorized Official Telephone | 6036636180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30518397 | 05 |
| Other Name | Type Code |
|---|---|
| Health Care for the Homeless Program | Other Name - Individual/Organization |
| Mobile Community Health Team | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
| 1841623527 | Catholic Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Mcgregor St # B600a, Manchester, NH 03102-3730 | 2013-08-16 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 1972559904 | Catholic Medical Center | Internal Medicine | 20 Washington Pl, Bedford, NH 03110-6706 | 2006-05-25 |
| 1871930834 | Catholic Medical Center | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2013-05-31 |
| 1750627881 | Catholic Medical Center | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2012-12-18 |
| 1235370057 | Catholic Medical Center | Surgery | 87 Mcgregor St, Suite 3100, Manchester, NH 03102-3765 | 2009-03-09 |
| 1295907533 | Catholic Medical Center | Internal Medicine | 53 Goffstown Rd, Manchester, NH 03102-2737 | 2008-03-27 |
| 1831381987 | Catholic Medical Center | Internal Medicine | 11 Kimball Dr, Hooksett, NH 03106-2603 | 2007-08-13 |
| 1528150273 | Catholic Medical Center | Psychiatric Unit | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATHOLIC MEDICAL CENTER | 100 Mcgregor St, Manchester, NH 03102-3730 |
| Street Address |
199 MANCHESTER ST NEW HORIZONS SHELTER |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352630 | Families In Transition | Counselor | 199 Manchester St, Manchester, NH 03103-5232 | 2018-10-18 |
| 1013365774 | Tracy Tinker | Registered Nurse | 199 Manchester St, Manchester, NH 03103-5232 | 2016-06-02 |
| 1235537069 | Lisa Price | Counselor | 199 Manchester St, Manchester, NH 03103-5232 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| 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 |
|---|---|---|---|---|
| 1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1275061269 | Grace Community Health Center Inc | Clinic/Center | 1908 N. Highway 421, Manchester, Manchester, KY 40962-7337 | 2017-06-02 |
| 1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
| 1548464951 | Great Lakes Bay Health Centers | Clinic/Center | 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 | 2007-06-12 |
| 1083617013 | Amoskeag Health | Clinic/Center | 145 Hollis St, Manchester, NH 03101-1325 | 2005-05-23 |
| 1861048969 | Amoskeag Health | Clinic/Center | 1555 Elm St, Manchester, NH 03101-1203 | 2019-08-14 |
| 1487022992 | Amoskeag Health | Clinic/Center | 88 Mcgregor St, Manchester, NH 03102-3750 | 2015-09-14 |
| 1962884395 | First Choice Health Centers, Inc. | Clinic/Center | 444 Center St, 3rd Floor, Manchester, CT 06040-3926 | 2015-06-22 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
Please comment or provide details below to improve the information on CATHOLIC MEDICAL CENTER.
| 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.