Catholic Medical Center
Organization Active NPI Family Medicine Physician · Bedford, NH
NPI 1972559904 · NPPES record last updated Jun 5, 2009
Key facts
- NPI
- 1972559904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CATHOLIC MEDICAL CENTER
- Practice address
- 20 Washington PL
Bedford, NH 03110-6706 - Phone
- (603) 663-8060
- NPI assigned
- May 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Bonnie McKellar
- Title
- Administrator
- Phone
- (603) 663-5248
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Practitioners 102
-
Judith A Devine, M.D.
-
Jonathan Allan Gott, PA-C
-
Christy Linn Aberg, APRN, CNM
-
Marcy K. Boucher, M.D.
-
Hannah E Boutselis, APRN
-
Kermit Brion Brunelle, M.D.
-
Jennifer Marie Chrisemer, APRN, FNP- BC
-
Brian E Claussen, M.D.
-
Courtney E Coffey, APRN-CNM
-
Roberta J Compagna, ARNP
-
Nicole Cruz, MSN, APRN, FNP-C
-
Todd David Daugherty, M.D.
-
Sachin B. Dave, MD
-
Ruslan E Denysyk, PA-C
-
Caitlin Marie Duggar, APRN
-
Jessica Lynn Dumais, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Catholic Medical Center |
Federally qualified health center | Operational/Managerial Control | Jun 16, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060801000346 | NH | Part B Supplier - Clinic/Group Practice | 6103897129 |
Receives reassigned benefits from 101 practitioners 1 other NPI on this enrollment Practice locations: Bedford, NH; Wolfeboro, NH; Peterborough, NH; Manchester, NH |
National Provider Directory
Locations
188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700
769 S Main St
Fl 3
Manchester, NH 03102
Phone (603) 625-6198
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
20 Washington PL
Bedford, NH 03110-6706
Mailing address
20 Washington Place
Bedford, NH 03110
Phone (603) 663-7852
Other providers in Bedford, NH
- Shirley A Cartwright
- Christina M. Casarez
- Nina B. Casaverde
- Andrew Frank Casey
- James Peter Cassidy
- Center for Eating Disorders Management
- Center for Eating Disorders Management Inc
- Kathleen T Chan
- Cassandra M Chapman
- Deanne Marie Chapman
All providers in Bedford, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.