| NPI | 1124751177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN GORDON CEO 603-752-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QR1300X Clinic/Center, Rural Health | |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-01-18 |