| Health Care For The Homeless Program | |
|
199 Manchester St New Horizons Shelter Manchester NH 03103-5232 | |
| (603) 663-8718 | |
| (603) 641-9339 |
| Full Name | Health Care For The Homeless Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 Manchester St, 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) 633-8701 | Health Care For The Homeless Program 199 Manchester St New Horizons Shelter Manchester NH 03103-5232 Ph: (603) 663-8718 |
| NPI Number | 1942215819 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 10/23/2020 |
| Medicare PECOS PAC ID | 6103897129 |
|---|---|
| Medicare Enrollment ID | O20080123000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942215819 | NPI | - | NPPES |
| 30518397 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Keith Stahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215973805 PECOS PAC ID: 6608866314 Enrollment ID: I20040514000757 |
| Provider Name | Charles F Carrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932136017 PECOS PAC ID: 6305801531 Enrollment ID: I20041129000909 |
| Provider Name | William N Windler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265455877 PECOS PAC ID: 4587609805 Enrollment ID: I20050627000740 |
| Provider Name | Paula M Mahon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992782528 PECOS PAC ID: 0446272447 Enrollment ID: I20051219000599 |
| Provider Name | Catherine J Fogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437319233 PECOS PAC ID: 1557419264 Enrollment ID: I20090507000514 |
| Provider Name | Christian P Dangremond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831281 PECOS PAC ID: 8022249788 Enrollment ID: I20140919001131 |
| Provider Name | Sarah A. Lanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942403258 PECOS PAC ID: 5294826525 Enrollment ID: I20160923000394 |
| Provider Name | Kathryn E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801270350 PECOS PAC ID: 8628374980 Enrollment ID: I20170310000770 |
| Provider Name | Jennifer M Chisholm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134464019 PECOS PAC ID: 1153670898 Enrollment ID: I20180814002082 |
| Provider Name | Craig Iannotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789957 PECOS PAC ID: 8123377546 Enrollment ID: I20180817002904 |
| Provider Name | Amanda L Egli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770148660 PECOS PAC ID: 9335571215 Enrollment ID: I20191114001175 |
| Provider Name | Dd D Travers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437710944 PECOS PAC ID: 5991137788 Enrollment ID: I20191115002906 |
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 |