NPIMap

Organization Active NPI

Amoskeag Health

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
National Provider Identifier
1861048969
Registry record updated Jun 19, 2026
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
2 Wall St
Manchester, NH 03101-1518
Phone
(603) 626-9500
Fax
(833) 448-1486
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Kris McCracken
Title
President Ceo
Phone
(603) 626-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2 Wall St
Manchester, NH 03101-1518

Mailing address

145 Hollis St
Manchester, NH 03101-1235
Phone (606) 626-9500

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
O20191028002837 NH Part A Provider - Federally Qualified Health Center (FQHC) 8527038421 Practice locations: Manchester, NH

Federally qualified health center certification: CCN 301835

Legal name
AMOSKEAG HEALTH
Doing business as
AMOSKEAG HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 30, 2019
Last certification
Oct 30, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1992 in NH
Enrollment address
2 Wall St
Manchester, NH 31011518

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

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1555 Elm St
Manchester, NH 03101
Phone 60366841115269

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
Vanessa Maradiaga Individual Corporate DirectorDirector Jul 7, 2022
Jill Bille Individual Corporate DirectorDirector Apr 7, 2020
Angela Peters Individual Corporate DirectorDirector Jan 2, 2024
Debra Manning Individual Corporate DirectorDirector Nov 5, 2019
Karen Schoch Individual Corporate DirectorDirector Nov 5, 2024
Kristen McCracken Individual Corporate OfficerPresident/ Ceo Dec 31, 2012
Corporate DirectorPresident/Ceo Dec 21, 2012
Operational/Managerial Control Dec 31, 2012
Karine St. Surin Individual Corporate DirectorDirector Jun 4, 2024
Dawn McKinney Individual Corporate Director Jul 11, 2017
Angella Chen-Shadeed Individual Corporate Director Aug 7, 2018
Gail Tudor Individual Corporate DirectorDirector Dec 1, 2020
Richard a Elwell Individual Corporate Director Jan 9, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1861048969",
    "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": "606-626-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WALL ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011518",
            "telephone_number": "603-626-9500",
            "fax_number": "833-448-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSKEAG HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "KRIS",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.