| Health Care For The Homeless Program | |
|
177 Lake Ave Manchester NH 03103-5321 | |
| (603) 782-7414 | |
| (603) 518-8707 |
| Full Name | Health Care For The Homeless Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 177 Lake Ave, Manchester, New Hampshire |
| Authorized Official Name and Position | Edward Dudley (CFO) |
| Authorized Official Contact | 6036636180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care For The Homeless Program 195 Mcgregor St Suite Ll22 Manchester NH 03102-3748 Ph: (603) 663-8701 | Health Care For The Homeless Program 177 Lake Ave Manchester NH 03103-5321 Ph: (603) 782-7414 |
| NPI Number | 1285928259 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 10/23/2020 |
| Medicare PECOS PAC ID | 6103897129 |
|---|---|
| Medicare Enrollment ID | O20100719000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285928259 | NPI | - | NPPES |
| 30518396 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kenneth D. Thomas, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Tarrytown Rd, Kenneth D. Thomas, Md, Manchester, NH 03103 Phone: 603-622-7548 Fax: 603-622-4369 | |
Va Medical Center-manchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 Fax: 603-626-6554 | |
Elliot Bay Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Elliot Way Ste 102, Elliot Bay Medical Associates, Manchester, NH 03103 Phone: 603-626-5900 Fax: 603-625-2180 | |
Elliot Family Medicine At Manchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Elliot Way, Suite 100, Elliot Family Medicine At Manchester, Manchester, NH 03103 Phone: 603-626-5113 Fax: 603-622-5298 | |
Granite State Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Tarrytown Rd, Granite State Medical Center, Manchester, NH 03103 Phone: 603-626-5113 Fax: 603-622-5298 | |
Farnum Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lake Ave Ste 2, Manchester, NH 03103 Phone: 603-622-3020 | |
Healthways Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Sheffield Rd, Manchester, NH 03103 Phone: 603-606-7020 Fax: 603-622-4102 |