MEDICARE: GREATER SEACOAST COMMUNITY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1003431925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER SEACOAST COMMUNITY HEALTH

Provider Business Mailing Address
First Line	:	311 ROUTE 108
Second Line	:
City	:	SOMERSWORTH
State	:	NH
Zip	:	03878-1522
Country	:	US
Telephone Number	:	603-749-2346
Fax Number	:	603-953-0066

Provider Business Practice Location Address
First Line	:	63 S MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-2707
Country	:	US
Telephone Number	:	603-841-2350
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JANET LAATSCH
Credential	:
Telephone Number	:	603-749-2346

Provider Enumeration Date	:	06/16/2020
Last Update Date	:	06/19/2020

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