| |
100 Gerald Connors Cir Rm E107 Manchester NH 03103-3404 | |
(603) 626-9500 | |
(833) 448-1486 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 100 Gerald Connors Cir Rm E107, Manchester, New Hampshire |
Authorized Official Name and Position | Kristen Mccracken (PRESIDENT/CEO) |
Authorized Official Contact | 6036269500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
145 Hollis St Manchester NH 03101-1235 Ph: (603) 626-9500 | 100 Gerald Connors Cir Rm E107 Manchester NH 03103-3404 Ph: (603) 626-9500 |
NPI Number | 1639768708 |
---|---|
Provider Enumeration Date | 01/13/2021 |
Last Update Date | 07/19/2023 |
Medicare PECOS PAC ID | 8527038421 |
---|---|
Medicare Enrollment ID | O20210226000901 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639768708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthways Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Sheffield Rd, Manchester, NH 03103 Phone: 603-606-7020 Fax: 603-622-4102 |