Healthcare Provider Details

I. General information

NPI: 1376405795
Provider Name (Legal Business Name): CATHOLIC COMMUNITY HEALTH ALLIANCE OF GREATER MANCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 MCGREGOR ST STE 305
MANCHESTER NH
03102-3734
US

IV. Provider business mailing address

100 WILLIAM LOEB DR UNIT 3
MANCHESTER NH
03109-5324
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-0239
  • Fax:
Mailing address:
  • Phone: 603-663-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID HILDENBRAND
Title or Position: CFO
Credential:
Phone: 603-663-0202