Indian Stream Health Center, Inc in Colebrook - Federally Qualified Health Center (fqhc)
Indian Stream Health Center, Inc - NPI 1386673952
Indian Stream Health Center, Inc is a Federally Qualified Health Center (fqhc) in Colebrook, New Hampshire. Indian Stream Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Indian Stream Health Center, Inc is 1386673952. The last update date is 2015-01-27.
Indian Stream Health Center, Inc's current location address is 141 Corliss Lane, Colebrook, New Hampshire. You can contact this provider via phone number 6032378336 and fax number 6032374467. The mailing address for Indian Stream Health Center, Inc is 141 Corliss Lane, Colebrook, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indian Stream Health Center, Inc |
|---|---|
| Address | 141 Corliss Lane, Colebrook, New Hampshire |
| Phone Number | 6032378336 |
| Fax Number | 6032374467 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Brown W. Jonathan |
| Telephone Number | 6033882426 |
NPI Number Detail
| NPI Number | 1386673952 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2015-01-27 |
Provider Mailing Address Detail
| Address | 141 Corliss Lane |
|---|---|
| City | Colebrook |
| State | New Hampshire (NH) |
| Post Code | 3576 |
| Phone Number | 6032378336 |
| Fax Number | 6032374467 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7459647 | NH | AETNA | |
| 8000921 | VT | -- | |
| 200010975 | NH | MVP | |
| 30213617 | NH | -- | |
| 30513983 | NH | -- | |
| 8190651 | NH | CIGNA | |
| 68661 | VT | BCBS OF VT | |
| 1011463 | VT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Indian Stream Health Center, Inc by the Centers for Medicare & Medicaid Services?
The Indian Stream Health Center, Inc has been issued the NPI (National Provider Identifier) 1386673952. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Indian Stream Health Center, Inc's physical address?
The Indian Stream Health Center, Inc is physically located at 141 Corliss Lane, in the city of Colebrook, NH, with the postal code 3576.
What is Indian Stream Health Center, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Indian Stream Health Center, Inc is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Indian Stream Health Center, Inc receive the assignment of its 1386673952 from the Centers for Medicare & Medicaid Services?
The Indian Stream Health Center, Inc was issued its 1386673952 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date were the details related to Indian Stream Health Center, Inc most recently updated or revised?
The information pertaining to Indian Stream Health Center, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-27.
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