| |
5 Rope Ferry Rd Hanover NH 03755-1404 | |
(603) 646-9456 | |
(603) 646-9447 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 5 Rope Ferry Rd, Hanover, New Hampshire |
Authorized Official Name and Position | Gordon Taylor (ASSOC DEAN AND EXECUTIVE OFFICER) |
Authorized Official Contact | 6036469157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7 Rope Ferry Rd # 6143 Hanover NH 03755-1404 Ph: (603) 646-9456 | 5 Rope Ferry Rd Hanover NH 03755-1404 Ph: (603) 646-9456 |
NPI Number | 1689705931 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689705931 | NPI | - | NPPES |
30704155 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 0012 (New Hampshire) | Primary |
Iora Health New Hampshire, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Allen St Ste 100, Hanover, NH 03755 Phone: 603-738-1164 | |
Hanover Continuity Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Lyme Rd, Suite 104, Hanover, NH 03755 Phone: 603-643-3320 Fax: 603-643-3301 | |
Montshire Pediatrics, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Lyme Rd, Suite 105, Hanover, NH 03755 Phone: 603-643-6700 Fax: 603-643-6710 |