Coos County Family Health Services

LBN: Coos County Family Health Services
Coos County Family Health Services is an health care organization with primary practice located at 73 Main Street , Berlin NH 03570. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Coos County Family Health Services can be contacted via phone (603) 752-2424, or through Gordon, Kenneth via phone (603) 752-3669.

Contact Information

Primary practice address
73 Main Street Berlin NH 03570
Phone: (603) 752-2424
Fax: (603) 752-2436
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Kenneth
Phone: (603) 752-3669

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 04258 New Hampshire
Dental Providers / General Practice 1223G0001X 1275 New Hampshire
Dental Providers / General Practice 1223G0001X 01275 New Hampshire

Profile Details

NPI number 1003019837
LBN Legal business name Coos County Family Health Services
DBA Doing business as
Authorized official Gordon, Kenneth
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 8th, 2007
Last updated Nov 17th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003019837 NPPES
New Hampshire MEDICAID 30301511

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