NPIMap

Organization Active NPI

Coos County Family Health Services, Inc

  • Dentist
  • Colebrook, NH
National Provider Identifier
1265212377
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COOS COUNTY FAMILY HEALTH SERVICES, INC
Practice address
141 Corliss LN
Colebrook, NH 03576-3206
Phone
(603) 237-9195
NPI assigned
Oct 5, 2023
Organization subpart
Yes
Parent organization
COOS COUNTY FAMILY HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Chantal L Hulme
Title
Credentialing Manager
Phone
(603) 752-2040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

141 Corliss LN
Colebrook, NH 03576-3206

Mailing address

133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040

Other names 1

  • Coos County Family Dental - Colebrook Site Other name

National Provider Directory

National Provider Directory
Tax ID family
Coos County Family Health Services Inc6 organizations share this tax ID, including this one
Part of
Coos County Family Health Services Inc

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1265212377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702006",
            "telephone_number": "603-752-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CORLISS LN",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763206",
            "telephone_number": "603-237-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOS COUNTY FAMILY HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOS COUNTY FAMILY HEALTH SERVICES, INC",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HULME",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "603-752-2040"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coos County Family Dental - Colebrook Site",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colebrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.