| Coos County Family Health Services, Inc | |
|
167 Main St Ste 2 Gorham NH 03581-1637 | |
| (603) 466-3500 | |
| Not Available |
| Full Name | Coos County Family Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 167 Main St Ste 2, Gorham, New Hampshire |
| Authorized Official Name and Position | Kenneth E Gordon (CEO) |
| Authorized Official Contact | 6037523669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coos County Family Health Services, Inc 133 Pleasant St Berlin NH 03570-2006 Ph: (603) 752-2040 | Coos County Family Health Services, Inc 167 Main St Ste 2 Gorham NH 03581-1637 Ph: (603) 466-3500 |
| NPI Number | 1659143493 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 8628970480 |
|---|---|
| Medicare Enrollment ID | O20240129000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659143493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Coos County Family Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Broadway Ave, Gorham, NH 03581 Phone: 603-466-2741 Fax: 603-466-2953 |