NPIMap

Organization Active NPI

Suncook Family Health Center PA

  • Family Medicine Physician
  • Allenstown, NH
National Provider Identifier
1326037839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNCOOK FAMILY HEALTH CENTER PA
Practice address
50 Pinewood Road
Allenstown, NH 03275-9001
Phone
(603) 485-7861
Fax
(603) 485-2437
NPI assigned
Oct 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerard J Hevern, MD
Title
President
Phone
(603) 485-7861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

50 Pinewood Road
Allenstown, NH 03275-9001

Mailing address

PO Box 9001
Suncook, NH 03275-9001
Phone (603) 485-7861

Other identifiers 2

IdentifierTypeStateIssuer
50Y690200NH01OtherANTHEM
30002831MedicaidNH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326037839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9001",
            "city": "SUNCOOK",
            "state": "NH",
            "postal_code": "032759001",
            "telephone_number": "603-485-7861",
            "fax_number": "603-485-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINEWOOD ROAD",
            "city": "ALLENSTOWN",
            "state": "NH",
            "postal_code": "032759001",
            "telephone_number": "603-485-7861",
            "fax_number": "603-485-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOOK FAMILY HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEVERN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-485-7861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "50Y690200NH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002831",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allenstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.