Healthcare Provider Details

I. General information

NPI: 1114935871
Provider Name (Legal Business Name): GREATER SEACOAST COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 GREENLEAF WOODS DR
PORTSMOUTH NH
03801-5436
US

IV. Provider business mailing address

311 ROUTE 108
SOMERSWORTH NH
03878-1522
US

V. Phone/Fax

Practice location:
  • Phone: 603-422-8208
  • Fax: 603-422-8218
Mailing address:
  • Phone: 603-422-8208
  • Fax: 603-422-8219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY GARCA
Title or Position: PATIENT ACCOUNT DIRECTOR
Credential:
Phone: 603-516-2576