NPIMap

Organization Active NPI

Catholic Medical Center

Doing business as Catholic Medical Center d/b/a New Hampshire medical Laboratories

  • Clinical Medical Laboratory
  • Manchester, NH
National Provider Identifier
1871930834
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
30D0993032 Issued in NH
Legal business name
CATHOLIC MEDICAL CENTER
Doing business as
Catholic Medical Center d/b/a New Hampshire medical Laboratories
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 663-5362
NPI assigned
May 31, 2013
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Roberta Provencal
Title
Executive Director, Laboratory SVCS
Phone
(603) 663-5362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 30D0993032 NH Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 663-5362

Other names 1

  • Catholic Medical Center d/b/a New Hampshire medical Laboratories Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.Allscriptsdirect.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Catholic Healthcare Trust9 organizations share this tax ID, including this one
Part of
Catholic Healthcare Trust

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1871930834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC MEDICAL CENTER",
        "enumeration_date": "2013-05-31",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "PROVENCAL",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, LABORATORY SVCS",
        "authorized_official_telephone_number": "603-663-5362"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NH",
            "license": "30D0993032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.Allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Catholic Medical Center d/b/a New Hampshire medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Medical Center d/b/a New Hampshire medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.