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600 Lafayette Rd Portsmouth NH 03801-5435 | |
(603) 422-8208 | |
(603) 422-8218 |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 Lafayette Rd, Portsmouth, New Hampshire |
Authorized Official Name and Position | Kimberly Garca (BILLING MANAGER) |
Authorized Official Contact | 6038120833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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311 Route 108 Somersworth NH 03878-1522 Ph: (603) 422-8208 | 600 Lafayette Rd Portsmouth NH 03801-5435 Ph: (603) 422-8208 |
NPI Number | 1881978658 |
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Provider Enumeration Date | 09/28/2011 |
Last Update Date | 04/04/2018 |
Medicare PECOS PAC ID | 2769454974 |
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Medicare Enrollment ID | O20180402001902 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881978658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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