Organization
AVIS GOODWIN COMMUNITY HEALTH CENTER
Active
Organization
AVIS GOODWIN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ATKINS (EXECUTIVE DIRECTOR)
(603) 516-2570
Entity
Organization
Contact information
Practice address
388 SOMERSWORTH RD, NORTH BERWICK, ME 03906-6559
(603) 516-2570
(603) 953-0066
Mailing address
652F CENTRAL AVE # F, DOVER, NH 03820-3414
(603) 516-5270
(603) 953-0066
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999909035
—
ME
Enumeration date
07/30/2009
Last updated
07/30/2009
Update your record
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