| Lamprey Health Care Inc | |
|
10 Tsienneto Rd Derry NH 03038-1505 | |
| (603) 659-3106 | |
| (603) 659-5892 |
| Full Name | Lamprey Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Tsienneto Rd, Derry, New Hampshire |
| Authorized Official Name and Position | Jeanne M Alwardt (BILLING/CODING COMPLIANCE MANAGER) |
| Authorized Official Contact | 6032927292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lamprey Health Care Inc 207 S Main St Newmarket NH 03857-1835 Ph: (603) 659-3106 | Lamprey Health Care Inc 10 Tsienneto Rd Derry NH 03038-1505 Ph: (603) 659-3106 |
| NPI Number | 1710592977 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Medicare PECOS PAC ID | 3577535319 |
|---|---|
| Medicare Enrollment ID | O20201113001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710592977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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