NPIMap

Organization Active NPI

Child Health Servics (Teen Health Clinic)

  • Primary Care Clinic/Center
  • Manchester, NH
National Provider Identifier
1952591331
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHILD HEALTH SERVICS (TEEN HEALTH CLINIC)
Practice address
1245 Elm Street
Manchester, NH 03101
Phone
(603) 629-9707
Fax
(603) 629-9694
NPI assigned
Jul 31, 2007
Last updated
Nov 7, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILD HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Lisa A. Dibrigida, MD
Title
Medical Director
Phone
(603) 668-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1245 Elm Street
Manchester, NH 03101

Mailing address

1245 Elm Street
Manchester, NH 03101
Phone (603) 668-6629

National Provider Directory

National Provider Directory
Tax ID family
Child Health Servics Teen Health Clinic3 organizations share this tax ID, including this one
Part of
Child Health Servics Teen Health Clinic

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1952591331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 ELM STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-668-6629",
            "fax_number": "603-622-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 ELM STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-629-9707",
            "fax_number": "603-629-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD HEALTH SERVICS (TEEN HEALTH CLINIC)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD HEALTH SERVICES",
        "enumeration_date": "2007-07-31",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "DIBRIGIDA, MD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "603-668-6629"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2014; 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.