Healthcare Provider Details
I. General information
NPI: 1790604932
Provider Name (Legal Business Name): AMOSKEAG HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306A KIMBALL ST
MANCHESTER NH
03102
US
IV. Provider business mailing address
145 HOLLIS ST
MANCHESTER NH
03101-1235
US
V. Phone/Fax
- Phone: 603-626-9500
- Fax:
- Phone: 603-626-9500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICK
RYAN
CURTIN
Title or Position: CFO
Credential:
Phone: 603-935-5243