| Crotched Mountain Rehabilitation Center, Inc. | |
|
1 Verney Dr Greenfield NH 03047-5000 | |
| (603) 547-3311 | |
| (603) 547-3232 |
| Full Name | Crotched Mountain Rehabilitation Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Verney Dr, Greenfield, New Hampshire |
| Authorized Official Name and Position | Kelly Ward (VP OF FINANCE) |
| Authorized Official Contact | 6035473311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crotched Mountain Rehabilitation Center, Inc. 1 Verney Dr Greenfield NH 03047-5000 Ph: (603) 547-3311 | Crotched Mountain Rehabilitation Center, Inc. 1 Verney Dr Greenfield NH 03047-5000 Ph: (603) 547-3311 |
| NPI Number | 1891721262 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 5597731059 |
|---|---|
| Medicare Enrollment ID | O20040907000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891721262 | NPI | - | NPPES |
| 1020140 | Medicaid | VT | |
| 0000005NA | Other | NH | ANTHEM BC FACILITY # |
| 3076358 | Medicaid | NH | |
| 50Y519400NH01 | Other | NH | BC PROFESSIONAL GROUP # |
| Provider Name | Powen Hsu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912991159 PECOS PAC ID: 1557265006 Enrollment ID: I20041210000062 |
| Provider Name | David C Kontak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700953809 PECOS PAC ID: 1557316916 Enrollment ID: I20050318000152 |
| Provider Name | Frederick R Bruch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427074194 PECOS PAC ID: 8729005681 Enrollment ID: I20051029000298 |
| Provider Name | Keith H Wolsiefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316026404 PECOS PAC ID: 8224037742 Enrollment ID: I20061211000631 |
| Provider Name | Michelle T Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083805410 PECOS PAC ID: 2062507296 Enrollment ID: I20071003000575 |
| Provider Name | Krista M Davison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467716845 PECOS PAC ID: 8325298177 Enrollment ID: I20121101000376 |
| Provider Name | Michael B Przydzielski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124249735 PECOS PAC ID: 0244355782 Enrollment ID: I20130409000178 |
| Provider Name | Rhonda L Barkley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922184753 PECOS PAC ID: 9032418868 Enrollment ID: I20160429000807 |
| Provider Name | Catherine Zouzas Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410968 PECOS PAC ID: 6002194768 Enrollment ID: I20161031002172 |
| Provider Name | Chandra E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346729753 PECOS PAC ID: 3476805631 Enrollment ID: I20181016003292 |
Legacy By Gersh At Crotched Mountain Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Verney Dr, Greenfield, NH 03047 Phone: 603-547-3311 Fax: 603-547-2072 | |
Seven Hills New Hampshire, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Verney Dr, Greenfield, NH 03047 Phone: 603-547-1504 Fax: 603-547-2072 |