MEDICARE: AMOSKEAG HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1629740816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMOSKEAG HEALTH

Provider Business Mailing Address
First Line	:	145 HOLLIS ST
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03101-1235
Country	:	US
Telephone Number	:	603-626-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 ELM ST RM 11
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03101-2702
Country	:	US
Telephone Number	:	603-626-9500
Fax Number	:	833-448-1486

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	KRISTEN MCCRACKEN
Credential	:
Telephone Number	:	603-626-9500

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	07/19/2023

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Directions to “AMOSKEAG HEALTH ” Practice Location

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