Healthcare Provider Details

I. General information

NPI: 1568527158
Provider Name (Legal Business Name): CONCORD FEMINIST HEALTH CENTER DBA EQUALITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 S MAIN ST
CONCORD NH
03301-4817
US

IV. Provider business mailing address

38 S MAIN ST
CONCORD NH
03301-4817
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-2739
  • Fax: 603-228-6255
Mailing address:
  • Phone: 603-225-2739
  • Fax: 603-228-6255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. DALIA VIDUNAS
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 603-225-2739