| Farnum Center | |
|
140 Queen City Ave Manchester NH 03103-7122 | |
| (603) 622-3020 | |
| Not Available |
| Full Name | Farnum Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 140 Queen City Ave, Manchester, New Hampshire |
| Authorized Official Name and Position | Claire Gagnon (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6036213559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farnum Center Po Box 4982 Manchester NH 03108-4982 Ph: (603) 622-3020 | Farnum Center 140 Queen City Ave Manchester NH 03103-7122 Ph: (603) 622-3020 |
| NPI Number | 1720151830 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 8527368612 |
|---|---|
| Medicare Enrollment ID | O20151120001905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720151830 | NPI | - | NPPES |
| Provider Name | Lynn A Villemaire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831164219 PECOS PAC ID: 5597726471 Enrollment ID: I20041025000016 |
| Provider Name | Powen Hsu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912991159 PECOS PAC ID: 1557265006 Enrollment ID: I20041210000062 |
| Provider Name | Kim M Kicza-klasmier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871577502 PECOS PAC ID: 8820019649 Enrollment ID: I20051208000390 |
| Provider Name | Tabitha Hachey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508298787 PECOS PAC ID: 5395975734 Enrollment ID: I20140304000129 |
| Provider Name | Jennifer S Rioux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699180208 PECOS PAC ID: 1153549068 Enrollment ID: I20140905000662 |
| Provider Name | Tonya Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184091639 PECOS PAC ID: 5597073973 Enrollment ID: I20151005001939 |
| Provider Name | Kelly A. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942651039 PECOS PAC ID: 6103113170 Enrollment ID: I20160920001605 |
| Provider Name | Abby L'heureux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851705941 PECOS PAC ID: 3274750104 Enrollment ID: I20180423000651 |
| Provider Name | Christine Kociszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659851178 PECOS PAC ID: 8325385040 Enrollment ID: I20190202000030 |
| Provider Name | Karin L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538719570 PECOS PAC ID: 8820421894 Enrollment ID: I20191204002867 |
| Provider Name | Meghan Kielbania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750045845 PECOS PAC ID: 5193115202 Enrollment ID: I20211203002260 |
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