| Elina Koumjian, CNM | |
| 590 Court St, Keene, NH 03431-1719 | |
| (603) 354-6640 | |
| Not Available | 
| Full Name | Elina Koumjian | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 590 Court St, Keene, New Hampshire | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750704490 | NPI | - | NPPES | 
| G8936356 | Other | WA | MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN2321234 (Massachusetts) | Secondary | 
| 367A00000X | Advanced Practice Midwife | 080126-23 (New Hampshire) | Primary | 
| Entity Name | Dartmouth-hitchcock Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 | 
| Entity Name | Cheshire Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093803397 PECOS PAC ID: 1456260165 Enrollment ID: O20070913000090 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elina Koumjian, CNM 590 Court St, Keene, NH 03431-1719 Ph: () - | Elina Koumjian, CNM 590 Court St, Keene, NH 03431-1719 Ph: (603) 354-6640 | 
| Bridgette Aumand Holmes,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8 Middle St, Keene, NH 03431 Phone: 866-476-1321 Fax: 602-352-0682 | |
| Marion Boardman, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5454 | |
| Georgianna Hamilton, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 8 Middle St, Keene, NH 03431 Phone: 603-352-6898 | |
| Ms. Autumn J Versace, CNM, APRN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 590 Court St, Dartmouth Hitchcock - Womens Health, Keene, NH 03431 Phone: 603-354-6534 | |
| Ms. Genell Lynn Mikkalson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 580 Court St, Keene, NH 03431 Phone: 603-354-5454 | |
| Laurie Rendall Coursin, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5454 |