| Indian Stream Health Center, Inc | |
|
141 Corliss Lane Colebrook NH 03576 | |
| (603) 237-8336 | |
| (603) 237-4467 |
| Full Name | Indian Stream Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 141 Corliss Lane, Colebrook, New Hampshire |
| Authorized Official Name and Position | Jonathan W. Brown (CEO) |
| Authorized Official Contact | 6033882426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Stream Health Center, Inc 141 Corliss Lane Colebrook NH 03576 Ph: (603) 237-8336 | Indian Stream Health Center, Inc 141 Corliss Lane Colebrook NH 03576 Ph: (603) 237-8336 |
| NPI Number | 1386673952 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386673952 | NPI | - | NPPES |
| 7459647 | Other | NH | AETNA |
| 8000921 | Medicaid | VT | |
| 200010975 | Other | NH | MVP |
| 30213617 | Medicaid | NH | |
| 30513983 | Medicaid | NH | |
| 8190651 | Other | NH | CIGNA |
| 00068661 | Other | VT | BCBS OF VT |
| 1011463 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (New Hampshire) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Hampshire) | Primary |
North Country Medical And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Colby St, Colebrook, NH 03576 Phone: 603-731-5589 | |
Robert Soucy Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Pleasant St, Suite 1, Colebrook, NH 03576 Phone: 603-237-4579 Fax: 603-237-4579 | |
Monadnock Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 First St, Colebrook, NH 03576 Phone: 603-237-4262 | |
Coos County Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Colby St, Colebrook, NH 03576 Phone: 603-466-2741 |