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NPI Code Detail

MEDICARE: SEACOAST MENTAL HEALTH CENTER, INC.

MEDICARE: SEACOAST MENTAL HEALTH CENTER, INC.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27706655Y0NH01OTHERNHBHN NUMBER

General Provider Information

NPI Number : 1013092857
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEACOAST MENTAL HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 1145 SAGAMORE AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-5585
Country : US
Telephone Number : 603-431-6703
Fax Number : 603-433-5078
Provider Business Practice Location Address
First Line : 1145 SAGAMORE AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-5585
Country : US
Telephone Number : 603-431-6703
Fax Number : 603-433-5078
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. GERALDINE COUTURE
Credential :
Telephone Number : 603-431-6703
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/01/2008

Similar Medicare Providers

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Practice Location Address:
1145 SAGAMORE AVE
PORTSMOUTH, NH
03801-5585
Practice Phone: 603-431-6703
Practice Fax: 603-430-3753
1982520052 — EMMY VAN DORN
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1145 SAGAMORE AVE
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03801-5585
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1669546305 — KATHY SPIELMAN ARNP
Practice Location Address:
1145 SAGAMORE AVE
PORTSMOUTH, NH
03801-5585
Practice Phone: 603-431-6703
Practice Fax: 603-430-3753
1205900867 — BROOKE L BARON PSYD
Practice Location Address:
1145 SAGAMORE AVE
PORTSMOUTH, NH
03801-5585
Practice Phone: 603-431-6703
Practice Fax: 603-430-3753
1619041274 — MR. JOHN BURBANK M.ED, LCMHC
Practice Location Address:
1145 SAGAMORE AVE
PORTSMOUTH, NH
03801-5585
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Practice Fax: 603-430-3753
1770657280 — MR. DAVID CEGLIA M.ED., LCMHC
Practice Location Address:
1145 SAGAMORE AVE
PORTSMOUTH, NH
03801-5585
Practice Phone: 603-431-6703
Practice Fax: 603-430-3753

Directions to “SEACOAST MENTAL HEALTH CENTER, INC. ” Practice Location

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