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Organization
STRAFFORD HEALTH ALLIANCE
Active
Organization
STRAFFORD HEALTH ALLIANCE
Active
Other names
Women's Life Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH BEAUDIN (OPERATIONS MANAGER)
(603) 742-6673
Entity
Organization
Contact information
Practice address
200 ROUTE 108, SUITE 3, SOMERSWORTH, NH 03878-1119
(603) 742-7492
(603) 742-6762
Mailing address
200 ROUTE 108, SUITE 3, SOMERSWORTH, NH 03878-1119
(603) 742-7492
(603) 742-6762
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140580000
—
ME
01
—
155010
FDA CERTIFICATE #
NH
05
—
30002834
—
NH
01
—
44411
CIGNA
NH
01
—
5733712
AETNA
NH
01
—
7602818Y0NH01
ANTHEM
NH
01
—
MNT924
HARVARD PILGRIM
NH
Enumeration date
01/18/2007
Last updated
01/08/2009
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