Riverbend Community Mental Health, Inc. | |
3 North State Street Concord NH 03301 | |
(603) 226-7505 | |
Not Available |
Full Name | Riverbend Community Mental Health, Inc. |
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Speciality | Clinic/Center |
Location | 3 North State Street, Concord, New Hampshire |
Authorized Official Name and Position | Jaime Corwin (VP-HR) |
Authorized Official Contact | 6032267505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Riverbend Community Mental Health, Inc. Po Box 2032 Concord NH 03302-2032 Ph: (603) 226-7505 | Riverbend Community Mental Health, Inc. 3 North State Street Concord NH 03301 Ph: (603) 226-7505 |
NPI Number | 1497944623 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 01/31/2020 |
Certification Date | 01/31/2020 |
Medicare PECOS PAC ID | 6103815584 |
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Medicare Enrollment ID | O20051107000545 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497944623 | NPI | - | NPPES |
41263521 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Erling Jorgensen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578672572 PECOS PAC ID: 2668487695 Enrollment ID: I20060213000710 |
Provider Name | Teresa Madaffari |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548208143 PECOS PAC ID: 3274549829 Enrollment ID: I20060306000697 |
Provider Name | Anne K Pike |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508968454 PECOS PAC ID: 7618971409 Enrollment ID: I20060911000148 |
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