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293 Wilson St Ste 102 Manchester NH 03103-5021 | |
(603) 663-8718 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 293 Wilson St Ste 102, Manchester, New Hampshire |
Authorized Official Name and Position | Pamela Martel (CFO) |
Authorized Official Contact | 6036636180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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195 Mcgregor St Ste Ll22 Manchester NH 03102-3758 Ph: (603) 663-8716 | 293 Wilson St Ste 102 Manchester NH 03103-5021 Ph: (603) 663-8718 |
NPI Number | 1154984714 |
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Provider Enumeration Date | 04/19/2019 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 6103897129 |
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Medicare Enrollment ID | O20200224002245 |
Identifier | Type | State | Issuer |
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1154984714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 |