Goodwin Community Health
Organization Active NPI Community Health Clinic/Center · Somersworth, NH
NPI 1467436089 · NPPES record last updated Sep 26, 2012
Key facts
- NPI
- 1467436089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- GOODWIN COMMUNITY HEALTH
- Practice address
- 311 Route 108
Somersworth, NH 03878-1522 - Phone
- (603) 749-2346
- Fax
- (603) 953-0066
- NPI assigned
- Dec 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janet Marie Atkins, RN
- Title
- Executive Director
- Phone
- (603) 956-0063
Other NPIs on the same Medicare enrollment 6
Subparts reporting this organization as parent 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040809000966 | NH | Part B Supplier - Clinic/Group Practice | 2769454974 |
Receives reassigned benefits from 51 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portsmouth, NH; Somersworth, NH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes | ||
| Dental Clinic/Center | 261QD0000X | NH |
Addresses
Primary practice location
311 Route 108
Somersworth, NH 03878-1522
Mailing address
311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30011038 | Medicaid | NH | |
| 138790101 | Other | ME | MAINECARE FFS |
| 30312977 | Other | NH | DENTAL MEDICAID |
| 138790200 | Other | ME | MAINE CARE |
| 99909035 | Other | ME | ME MEDICAID PRIMECARE |
Other names
- Avis Goodwin Community Health
Other providers in Somersworth, NH
- Philip Gleason
- Sheila Glynn
- GMD Transit LLC
- Bracken Robert Godfrey
- Whitney E Goode
- Sherri W Grassie
- Daniel Adam Graubert
- Great Bay Mental Health Assoc Inc
- Great Bay Oral Surgery Associates PA
- Great Falls Denal Association
All providers in Somersworth, NH · Community Health Clinic/Center in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.