Healthcare Provider Details

I. General information

NPI: 1578854287
Provider Name (Legal Business Name): GREATER SEACOAST COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2011
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ROUTE 108
SOMERSWORTH NH
03878
US

IV. Provider business mailing address

311 ROUTE 108
SOMERSWORTH NH
03878
US

V. Phone/Fax

Practice location:
  • Phone: 603-749-2346
  • Fax: 603-953-0066
Mailing address:
  • Phone: 603-749-2346
  • Fax: 603-953-0066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. JANET LAATSCH
Title or Position: CEO
Credential: RN, MBA
Phone: 603-516-2550