1811150519 NPI number — GREATER SEACOAST COMMUNITY HEALTH

Table of content: (NPI 1811150519)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811150519 NPI number — GREATER SEACOAST COMMUNITY HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREATER SEACOAST COMMUNITY HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILIES FIRST HEALTH & SUPPORT CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811150519
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
311 ROUTE 108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERSWORTH
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03878-1522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-422-8208
Provider Business Mailing Address Fax Number:
603-422-8218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 GREENLEAF WOODS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03801-5436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-422-8208
Provider Business Practice Location Address Fax Number:
603-422-8218
Provider Enumeration Date:
07/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GARCA
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
603-812-0833

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3110986 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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