NPIMap

Organization Active NPI

Amoskeag Health

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
National Provider Identifier
1083617013
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AMOSKEAG HEALTH
Practice address
145 Hollis St
Manchester, NH 03101-1325
Phone
(603) 626-9500
Fax
(833) 448-1486
NPI assigned
May 23, 2005
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kristen McCracken
Title
President Ceo
Phone
(603) 626-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NH Primary

Addresses

Primary practice location

145 Hollis St
Manchester, NH 03101-1325

Mailing address

145 Hollis St
Manchester, NH 03101-1325
Phone (603) 626-9500

Other identifiers 1

IdentifierTypeStateIssuer
3080891MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040728001071 NH Part B Supplier - Clinic/Group Practice 8527038421 Receives reassigned benefits from 79 practitioners
20 other NPIs on this enrollment
Practice locations: Manchester, NH
O20080801000049 NH Part A Provider - Federally Qualified Health Center (FQHC) 8527038421 Practice locations: Manchester, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083617013. Details of each certification follow.

Federally qualified health center certification: CCN 301802

Legal name
AMOSKEAG HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 1993
Last certification
Mar 1, 1993
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 7, 1992 in NH
Enrollment address
145 Hollis St
Manchester, NH 31011235

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0864947Amoskeag Health145 Hollis St, Manchester, NH 03101Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Obhed Giri Individual Corporate DirectorDirector Dec 1, 2020
Thomas Lavoie Individual Corporate DirectorDirector Oct 1, 2019
Steven a Paris Individual Corporate Director May 7, 2024
Madhab Gurung Individual Corporate DirectorDirector Jan 7, 2020
Oreste J Mosca Individual Corporate DirectorDirector Feb 6, 2018
Patrick Curtin Individual Corporate OfficerChief Financial Officer Aug 4, 2025
Operational/Managerial ControlChief Financial Officer Aug 4, 2025
Normand Fortin Individual Corporate Director Apr 8, 2025
Karen Schoch Individual Corporate Officer Nov 5, 2024
Kristen McCracken Individual Corporate OfficerPresident/Ceo Feb 20, 2013
Corporate DirectorPresident / Ceo Feb 20, 2013
W-2 Managing EmployeePresident / Ceo Feb 20, 2013
Anna Hamel Individual Corporate Director Mar 4, 2025
Karine St. Surin Individual Corporate Officer Jun 4, 2024
Jamie Adam Pike Individual Corporate Director Jan 7, 2025
Dawn McKinney Individual Corporate DirectorDirector Jul 11, 2017
Tiffany Johnson Individual Corporate Director Aug 5, 2025
Richard a Elwell Individual Corporate DirectorBoard Member Jan 9, 2018
Timothy Donovan Individual Corporate Director Apr 8, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1083617013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011325",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011325",
            "telephone_number": "603-626-9500",
            "fax_number": "833-448-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSKEAG HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "603-626-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080891",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.