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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