Organization
AMOSKEAG HEALTH
Active
Other names
Child Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MCCRACKEN (PRESIDENT CEO)
(603) 626-9500
Entity
Organization
Contact information
Practice address
1245 ELM ST, MANCHESTER, NH 03101-1308
(603) 626-9500
(833) 448-1486
Mailing address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
(603) 626-0899
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301829
MEDICARE
NH
05
—
3100650
—
NH
01
—
RE2627
MEDICARE PTAN
NH
Enumeration date
05/06/2015
Last updated
07/19/2023
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