Organization
INDIAN STREAM HEALTH CENTER, INC
Active
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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