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1285786061

NPI Code Detail

MEDICARE: STRAFFORD HEALTH ALLIANCE

MEDICARE: STRAFFORD HEALTH ALLIANCE

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	247100000X	Radiologic Technologist
2	2471B0102X	Bone Densitometry Radiologic Technologist
3	2471M2300X	Mammography Radiologic Technologist
4	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5733712	OTHER	NH	AETNA
2	MNT924	OTHER	NH	HARVARD PILGRIM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7602818Y0NH01	OTHER	NH	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	44411	OTHER	NH	CIGNA
7	155010	OTHER	NH	FDA CERTIFICATE #

General Provider Information

NPI Number	:	1285786061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRAFFORD HEALTH ALLIANCE

Provider Business Mailing Address
First Line	:	200 ROUTE 108
Second Line	:	SUITE 3
City	:	SOMERSWORTH
State	:	NH
Zip	:	03878-1119
Country	:	US
Telephone Number	:	603-742-7492
Fax Number	:	603-742-6762

Provider Business Practice Location Address
First Line	:	200 ROUTE 108
Second Line	:	SUITE 3
City	:	SOMERSWORTH
State	:	NH
Zip	:	03878-1119
Country	:	US
Telephone Number	:	603-742-7492
Fax Number	:	603-742-6762

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MS. BETH BEAUDIN
Credential	:
Telephone Number	:	603-742-6673

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	01/08/2009

Similar Medicare Providers

1487756631 — MRS. MELBA LEENE THOMPSON ARNP
Practice Location Address:

200 ROUTE 108
SOMERSWORTH, NH
03878-1119

Practice Phone: 800-892-8384
Practice Fax:

1013069376 — STRAFFORD HEALTH ALLIANCE
Practice Location Address:

200 ROUTE 108 , SUITE 3
SOMERSWORTH, NH
03878-1119

Practice Phone: 603-742-7492
Practice Fax: 603-742-6762

1720381916 — JENNIFER CASEY
Practice Location Address:

200 ROUTE 108
SOMERSWORTH, NH
03878-1119

Practice Phone: 603-953-0077
Practice Fax:

1790088615 — MAURY ELSASSER
Practice Location Address:

200 ROUTE 108
SOMERSWORTH, NH
03878-1119

Practice Phone: 603-953-0077
Practice Fax:

1255608170 — LON JACKMAN
Practice Location Address:

200 ROUTE 108
SOMERSWORTH, NH
03878-1119

Practice Phone: 603-953-0077
Practice Fax:

1851664841 — PATRICK QUANN
Practice Location Address:

200 ROUTE 108
SOMERSWORTH, NH
03878-1119

Practice Phone: 603-953-0077
Practice Fax:

Directions to “STRAFFORD HEALTH ALLIANCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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