| Ascentria Community Services, Inc | |
|
261 Sheep Davis Road Suite A-1 Concord NH 03301 | |
| (603) 224-8111 | |
| (603) 224-0798 |
| Full Name | Ascentria Community Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 261 Sheep Davis Road, Concord, New Hampshire |
| Authorized Official Name and Position | Angela Bovill (CEO AND PRESIDENT) |
| Authorized Official Contact | 7742433900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascentria Community Services, Inc 261 Sheep Davis Road Suite A-1 Concord NH 03301 Ph: (603) 224-8111 | Ascentria Community Services, Inc 261 Sheep Davis Road Suite A-1 Concord NH 03301 Ph: (603) 224-8111 |
| NPI Number | 1760601017 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760601017 | NPI | - | NPPES |
| 30852339 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 51854 (New Hampshire) | Primary |
| 251S00000X | Community/behavioral Health | 58964 (New Hampshire) | Secondary |
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