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Organization Active NPI

Amoskeag Health

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
National Provider Identifier
1225625643
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
300 S Jewett St RM 1119
Manchester, NH 03103-3805
Phone
(603) 626-9500
Fax
(833) 448-1486
NPI assigned
Dec 31, 2020
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
Kristen McCracken
Title
President/Ceo
Phone
(603) 626-9500

Specialties & licenses 1

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

Addresses

Primary practice location

300 S Jewett St RM 1119
Manchester, NH 03103-3805

Mailing address

145 Hollis St
Manchester, NH 03101-1235
Phone (603) 626-9500

Other names 1

  • Amoskeag Health at Southside Middle School Other name

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
This NPI is an additional NPI on the enrollment
Practice locations: Manchester, NH
O20210222001164 NH Part A Provider - Federally Qualified Health Center (FQHC) 8527038421 Practice locations: Manchester, NH

Federally qualified health center certification: CCN 301844

Legal name
AMOSKEAG HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 22, 2021
Last certification
Feb 22, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1992 in NH
Enrollment address
300 S Jewett St
RM 119
Manchester, NH 31033805

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

National Provider Directory

National Provider Directory
Tax ID family
Amoskeag Health19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

7 Michigan Ave
Rm 111
Manchester, NH 03104

9 Notre Dame Ave
Rm 104B
Manchester, NH 03102

7 Michigan Ave
Ste 111
Manchester, NH 03104

300 S Jewett St
Rm 1119
Manchester, NH 03103

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 DirectorDirector 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 DirectorDirector Apr 8, 2025
Karen Schoch Individual Corporate DirectorDirector Nov 5, 2024
Kristen McCracken Individual Corporate OfficerCeo/President Dec 31, 2013
Anna Hamel Individual Corporate DirectorDirector Mar 4, 2025
Karine St. Surin Individual Corporate DirectorDirector Jun 4, 2024
Jamie Adam Pike Individual Corporate DirectorDirector Jan 7, 2025
Dawn McKinney Individual Corporate DirectorDirector Jul 11, 2017
Tiffany Johnson Individual Corporate DirectorDirector Aug 5, 2025
Richard a Elwell Individual Corporate DirectorTreasurer Jan 9, 2018
Timothy Donovan Individual Corporate DirectorDirector 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 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1225625643",
    "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": "031011235",
            "telephone_number": "603-626-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JEWETT ST RM 1119",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033805",
            "telephone_number": "603-626-9500",
            "fax_number": "833-448-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSKEAG HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amoskeag Health at Southside Middle School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.