Healthcare Provider Details
I. General information
NPI: 1669739454
Provider Name (Legal Business Name): WEEKS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2012
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
141 CORLISS LN
COLEBROOK NH
03576-3206
US
IV. Provider business mailing address
173 MIDDLE ST
LANCASTER NH
03584-3508
US
V. Phone/Fax
- Phone: 603-237-5899
- Fax: 603-237-5868
- Phone: 603-788-5029
- Fax: 603-788-5607
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
STREETER
Title or Position: NCH CFO/INTERIM PRESIDENT
Credential:
Phone: 603-326-5610