Coos County Family Health Services, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Gorham, New Hampshire. The current practice location for Coos County Family Health Services, Inc is 2 Broadway Ave, Gorham, New Hampshire. For appointments, you can reach them via phone at
(603) 466-2741. The mailing address for Coos County Family Health Services, Inc is 133 Pleasant St, Berlin, New Hampshire and phone number is (603) 752-2040.
Coos County Family Health Services, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1275535999. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(603) 466-2741.
Primary Care Clinic Profile
| Full Name | Coos County Family Health Services, Inc |
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| Speciality | Clinic/Center |
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| Location | 2 Broadway Ave, Gorham, New Hampshire |
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| Authorized Official Name and Position | Kenneth Gordon (CEO) |
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| Authorized Official Contact | 6037523669 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Coos County Family Health Services, Inc
133 Pleasant St
Berlin
NH 03570-2006
Ph: (603) 752-2040 | Coos County Family Health Services, Inc
2 Broadway Ave
Gorham
NH 03581-1502
Ph: (603) 466-2741 |
NPI Details:
| NPI Number | 1275535999 |
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| Provider Enumeration Date | 08/12/2005 |
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| Last Update Date | 09/17/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8628970480 |
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| Medicare Enrollment ID | O20100823000116 |
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Medical Identifiers
Medical identifiers for Coos County Family Health Services, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275535999 | NPI | - | NPPES |
| 3007254 | Medicaid | NH | |
| 788438 | Other | | MVP HEALTHCARE |
| CN7051 | Other | | MEDICARE RAILROAD |
| 5830418 | Other | | AETNA |
| 99908646 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (New Hampshire) | Secondary |
| 207R00000X | Internal Medicine | (New Hampshire) | Secondary |
| 208000000X | Pediatrics | (New Hampshire) | Secondary |
| 213E00000X | Podiatrist | (New Hampshire) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (New Hampshire) | Secondary |
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