White Mountain Community Health Center

LBN: White Mountain Community Health Center
White Mountain Community Health Center is an health care organization with primary practice located at 298 White Mountain Hwy , Conway NH 03818. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. White Mountain Community Health Center can be contacted via phone (603) 447-8900, or through Porter, Kenneth R via phone (603) 447-8900.

Contact Information

Primary practice address
298 White Mountain Hwy Conway NH 03818
Phone: (603) 447-8900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porter, Kenneth R
Phone: (603) 447-8900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X New Hampshire
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X New Hampshire
Ambulatory Health Care Facilities / Dental 261QD0000X New Hampshire
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X New Hampshire
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X New Hampshire

Profile Details

NPI number 1659470383
LBN Legal business name White Mountain Community Health Center
DBA Doing business as
Authorized official Porter, Kenneth R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 20th, 2018 - about 6 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 1659470383 NPPES
New Hampshire MEDICAID 30901072
New Hampshire MEDICAID 82370289
New Hampshire MEDICAID 139970000

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