Active NPI
Strafford Health Alliance
- Mammography Radiologic Technologist
- Somersworth, NH
National Provider Identifier
1013069376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Radiologic Technologist
- Legal business name
- STRAFFORD HEALTH ALLIANCE
- Practice address
- 200 Route 108
Suite 3
Somersworth, NH 03878-1119 - Phone
- (603) 742-7492
- Fax
- (603) 742-6762
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Beth Beaudin
- Title
- Operations Manager
- Phone
- (603) 742-6673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Radiologic Technologist | 2471M2300X | Primary |
Addresses
Primary practice location
200 Route 108
Suite 3
Somersworth, NH 03878-1119
Mailing address
200 Route 108
Suite 3
Somersworth, NH 03878-1119
Phone (603) 742-7492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155010 | Other | NH | FDA CERTIFICATE # |
Other names 1
- Women's Life Imaging Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231372800000",
"number": "1013069376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ROUTE 108",
"address_2": "SUITE 3",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781119",
"telephone_number": "603-742-7492",
"fax_number": "603-742-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ROUTE 108",
"address_2": "SUITE 3",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781119",
"telephone_number": "603-742-7492",
"fax_number": "603-742-6762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAFFORD HEALTH ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2009-01-08",
"status": "A",
"authorized_official_last_name": "BEAUDIN",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "603-742-6673",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2471M2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FDA CERTIFICATE #",
"identifier": "155010",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Women's Life Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.