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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