Organization
GOODWIN COMMUNITY HEALTH
Active
Organization
GOODWIN COMMUNITY HEALTH
Active
Other names
Avis Goodwin Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET MARIE ATKINS RN (EXECUTIVE DIRECTOR)
(603) 956-0063
Entity
Organization
Contact information
Practice address
311 ROUTE 108, SOMERSWORTH, NH 03878-1522
(603) 749-2346
(603) 953-0066
Mailing address
311 ROUTE 108, SOMERSWORTH, NH 03878-1522
(603) 749-2346
(603) 953-0066
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138790101
MAINECARE FFS
ME
01
—
138790200
MAINE CARE
ME
05
—
30011038
—
NH
01
—
30312977
DENTAL MEDICAID
NH
01
—
99909035
ME MEDICAID PRIMECARE
ME
Enumeration date
12/06/2005
Last updated
09/26/2012
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