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Organization

INDIAN STREAM HEALTH CENTER, INC

Active
Other names
CANAAN SITE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN BROWN (CEO)
(603) 388-2426
Entity
Organization

Contact information

Practice address
253 GALE ST, CANAAN SITE, CANAAN, VT 05903
(603) 237-8336
(603) 237-4467
Mailing address
141 CORLISS LN, CANAAN SITE, COLEBROOK, NH 03576-3206
(603) 237-8336
(603) 237-4467

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/19/2013
Last updated
03/30/2015
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