Healthcare Provider Details

I. General information

NPI: 1992807010
Provider Name (Legal Business Name): MONADNOCK FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 93RD ST
KEENE NH
03431-3748
US

IV. Provider business mailing address

131 GILSUM MINE RD
ALSTEAD NH
03602-3912
US

V. Phone/Fax

Practice location:
  • Phone: 603-357-5270
  • Fax:
Mailing address:
  • Phone: 603-835-2120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARON LYNDA POITRAS
Title or Position: EMERGANCY SERVICES CLINICIAN
Credential: MSW
Phone: 603-835-2120