MEDICARE: MANCHESTER HEALTH SERVICES, LLC

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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1972451078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANCHESTER HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	161 N STATE ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-5014
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 N STATE ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-5014
Country	:	US
Telephone Number	:	615-344-9551
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOHN SKEVINGTON
Credential	:
Telephone Number	:	603-433-4073

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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