NPIMap

Organization Active NPI

Avis Goodwin Community Health Center

  • Community Health Clinic/Center
  • North Berwick, ME
National Provider Identifier
1780815316
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
AVIS GOODWIN COMMUNITY HEALTH CENTER
Practice address
388 Somersworth Rd
North Berwick, ME 03906-6559
Phone
(603) 516-2570
Fax
(603) 953-0066
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Janet Atkins
Title
Executive Director
Phone
(603) 516-2570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary
Student Health Clinic/Center 261QS1000X NU

Addresses

Primary practice location

388 Somersworth Rd
North Berwick, ME 03906-6559

Mailing address

652F Central Ave # F
Dover, NH 03820-3414
Phone (603) 516-5270

Other identifiers 1

IdentifierTypeStateIssuer
999909035MedicaidME

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": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1780815316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652F CENTRAL AVE # F",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203414",
            "telephone_number": "603-516-5270",
            "fax_number": "603-953-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 SOMERSWORTH RD",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039066559",
            "telephone_number": "603-516-2570",
            "fax_number": "603-953-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIS GOODWIN COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-516-2570"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999909035",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.