Indian Stream Health Center, Inc

LBN: Indian Stream Health Center, Inc
Indian Stream Health Center, Inc is an health care organization with primary practice located at 141 Corliss Lane , Colebrook NH 03576. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Indian Stream Health Center, Inc can be contacted via phone (603) 237-8336, or through Brown, Jonathan W. via phone (603) 388-2426.

Contact Information

Primary practice address
141 Corliss Lane Colebrook NH 03576
Fax: (603) 237-4467
Website:
Authorized official contact:
Name: Brown, Jonathan W.

Health care specialties

Profile Details

NPI number 1386673952
LBN Legal business name Indian Stream Health Center, Inc
DBA Doing business as
Authorized official Brown, Jonathan W.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 27th, 2015 - about 10 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 1386673952 NPPES
New Hampshire Other 7459647 AETNA
New Hampshire MEDICAID 8000921 AETNA
New Hampshire Other 200010975 AETNA
New Hampshire MEDICAID 30213617 AETNA
New Hampshire MEDICAID 30513983 AETNA
New Hampshire Other 8190651 AETNA
New Hampshire Other 00068661 AETNA
New Hampshire MEDICAID 1011463 AETNA

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