NPIMap

Organization Active NPI

Amoskeag Health

Doing business as Child Health Services

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
National Provider Identifier
1295112530
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
Doing business as
Child Health Services
Practice address
1245 Elm St
Manchester, NH 03101-1308
Phone
(603) 626-9500
Fax
(833) 448-1486
NPI assigned
May 6, 2015
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
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

1245 Elm St
Manchester, NH 03101-1308

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
301829OtherNHMEDICARE
RE2627OtherNHMEDICARE PTAN
3100650MedicaidNH

Other names 1

  • Child Health Services Doing business as

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
O20150123000052 NH Part A Provider - Federally Qualified Health Center (FQHC) 8527038421 1 other NPI on this enrollment
Practice locations: Manchester, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295112530. Details of each certification follow.

Federally qualified health center certification: CCN 301829

Legal name
AMOSKEAG HEALTH
Doing business as
CHILD HEALTH SERVICE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 26, 2015
Last certification
Jan 26, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 1, 1992 in NH
Enrollment address
1245 Elm St
Manchester, NH 31011308

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 21

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

View all 21

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

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 Director Dec 11, 1982
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 Director 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 OfficerPresident / Ceo Nov 1, 2014
Corporate DirectorPresident / Ceo Nov 1, 2014
W-2 Managing Employee Nov 1, 2014
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 DirectorBoard Member 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 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1295112530",
    "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",
            "fax_number": "603-626-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011308",
            "telephone_number": "603-626-9500",
            "fax_number": "833-448-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSKEAG HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "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": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "301829",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RE2627",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100650",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Child Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.