Organization
AMOSKEAG HEALTH
Active
Parent organization
AMOSKEAG HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMOSKEAG HEALTH
Authorized official
KRISTEN MCCRACKEN (PRESIDENT CEO)
(603) 626-9500
Entity
Organization
Contact information
Practice address
184 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 626-9500
(833) 448-1486
Mailing address
184 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(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
05
—
30005574
—
NH
01
—
301828
MEDICARE
NH
01
—
RE2627
MEDICARE PTAN
NH
Enumeration date
01/14/2013
Last updated
07/19/2023
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