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Organization

AVIS GOODWIN COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET MARIE ATKINS (EXECUTIVE DIRECTOR)
(603) 749-2346
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138790201
ME
05
30011037
NH
05
999909035
ME
Enumeration date
08/05/2007
Last updated
08/03/2011
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