Indian Stream Health Center, Inc, NPI 1386673952
Federally Qualified Health Center (FQHC) in Colebrook, NH, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386673952 |
| NPI Entity Type | Organization |
| Provider Name | Indian Stream Health Center, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 141 Corliss Lane, Colebrook, NH, US |
| Provider Mailing Address | 141 Corliss Lane, Colebrook, NH, US, 03576 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Jonathan W. Brown |
| Official Position | CEO |
| Phone | 603-388-2426 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Federally Qualified Health Center (FQHC) |
| Classification | |
| Group | |
| License State | NH |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| NH | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7459647 | NH | AETNA | 01 |
| 8000921 | VT | MEDICAID | 05 |
| 200010975 | NH | MVP | 01 |
| 30213617 | NH | MEDICAID | 05 |
| 30513983 | NH | MEDICAID | 05 |
| 8190651 | NH | CIGNA | 01 |
| 00068661 | VT | BCBS OF VT | 01 |
| 1011463 | VT | MEDICAID | 05 |
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|---|---|---|---|
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M.ED./ED.S. Dana Lucille Fauth Individual |
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DR. PHD C. Patricia Hanley Individual |
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MR. LICSW Matthew James Box Individual |
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DR. DO Ian Richard Mckenzie Individual |
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Vinrj Llc Organization |
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DO Brigid Marie Feeley Individual |
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MS. MLADC, PSYD Christina Marie Minasian Hunt Individual |
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MR. M.ED., BCBA, LABA William Brandon Klein Individual |
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MS. BS, ATC Gabriella Karas Baczynski Individual |
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MS, LCPC, LCMHC Joshua Steele Hagar Individual |
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Csdurgin Counseling, Llc Organization |
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DR. M.D. Rafael Vazquez Individual |
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Eric Harbeck JR. Individual |
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Great Bay Services Organization |
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PA-C Annemarie Beattie Individual |
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D Cameron Braasch Dmd Llc Organization |
404 Riverway Pl |
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DR. DO Marc Adam Paranzino Individual |
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