Mascoma Community Healthcare Inc | |
18 Roberts Road Canaan NH 03741 | |
(603) 523-4501 | |
Not Available |
Full Name | Mascoma Community Healthcare Inc |
---|---|
Speciality | Clinic/Center |
Location | 18 Roberts Road, Canaan, New Hampshire |
Authorized Official Name and Position | Michael Samson (FINANCE MANAGER) |
Authorized Official Contact | 6035234501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mascoma Community Healthcare Inc Po Box 550 Canaan NH 03741-0550 Ph: (603) 523-4501 | Mascoma Community Healthcare Inc 18 Roberts Road Canaan NH 03741 Ph: (603) 523-4501 |
NPI Number | 1497298087 |
---|---|
Provider Enumeration Date | 11/30/2016 |
Last Update Date | 03/08/2024 |
Medicare PECOS PAC ID | 2466736525 |
---|---|
Medicare Enrollment ID | O20170309000707 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497298087 | NPI | - | NPPES |
Provider Name | Carrie M Webber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245372721 PECOS PAC ID: 8022039882 Enrollment ID: I20051208000713 |
Provider Name | Ellis B Gardner |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932130630 PECOS PAC ID: 2163706227 Enrollment ID: I20170309000863 |
Provider Name | Frederick K Wiese |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194739672 PECOS PAC ID: 0547340853 Enrollment ID: I20190410002560 |
Provider Name | Karl W Stanford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942783287 PECOS PAC ID: 4284987926 Enrollment ID: I20190725001655 |
Provider Name | Isabel D Watts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073122297 PECOS PAC ID: 0749698207 Enrollment ID: I20210421002140 |
Provider Name | Rachel M Hansen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407586969 PECOS PAC ID: 4183007909 Enrollment ID: I20220811001726 |