Healthcare Provider Details

I. General information

NPI: 1972328680
Provider Name (Legal Business Name): MANCHESTER HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 MAIN STREET
MANCHESTER NH
03102
US

IV. Provider business mailing address

100 MCGREGOR ST
MANCHESTER NH
03102-3730
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-3545
  • Fax:
Mailing address:
  • Phone: 603-663-8785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GINGRAS
Title or Position: DIVISION CFO
Credential:
Phone: 804-228-4901