NPIMap

Organization Active NPI

Amoskeag Health

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
National Provider Identifier
1699012492
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
184 Tarrytown Rd
Manchester, NH 03103-2713
Phone
(603) 626-9500
Fax
(833) 448-1486
NPI assigned
Jan 14, 2013
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AMOSKEAG HEALTHAs reported in NPPES

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

184 Tarrytown Rd
Manchester, NH 03103-2713

Mailing address

184 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 626-9500

Other identifiers 3

IdentifierTypeStateIssuer
RE2627OtherNHMEDICARE PTAN
301828OtherNHMEDICARE
30005574MedicaidNH

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
O20130228000081 NH Part A Provider - Federally Qualified Health Center (FQHC) 8527038421 Practice locations: Manchester, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699012492. Details of each certification follow.

Federally qualified health center certification: CCN 301828

Legal name
AMOSKEAG HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 7, 2013
Last certification
Mar 7, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1993 in NH
Enrollment address
184 Tarrytown Rd
Manchester, NH 31032713

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
Part of
Amoskeag Health

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 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 Director Feb 6, 2018
Patrick Curtin Individual Corporate OfficerChief Financial Officer Aug 4, 2025
Operational/Managerial ControlChief Financial Officer Aug 4, 2026
Normand Fortin Individual Corporate DirectorDirector Apr 8, 2025
Karen Schoch Individual Corporate Director Nov 5, 2024
Kristen McCracken Individual Corporate OfficerPresident/Ceo Dec 31, 2012
Corporate DirectorDirector of Operations Dec 31, 2012
Operational/Managerial Control Dec 31, 2012
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 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1699012492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "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": "184 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-626-9500",
            "fax_number": "833-448-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSKEAG HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMOSKEAG HEALTH",
        "enumeration_date": "2013-01-14",
        "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 PTAN",
            "identifier": "RE2627",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "301828",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005574",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.