| NPI | 1346242054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GORDON Chief Executive Officer 603-752-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QR1300X Clinic/Center, Rural Health | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-01-10 |