Indian Stream Health Center, Inc
LBN: Indian Stream Health Center, Inc
Indian Stream Health Center, Inc is an health care organization with primary practice located at 141 Corliss Lane , Colebrook NH 03576. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Indian Stream Health Center, Inc can be contacted via phone (603) 237-8336, or through Brown, Jonathan W. via phone (603) 388-2426.
Contact Information
Primary practice address
141 Corliss Lane
Colebrook NH 03576
Phone: (603) 237-8336
Fax: (603) 237-4467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | New Hampshire | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | New Hampshire |
Profile Details
| NPI number | 1386673952 |
|---|---|
| LBN Legal business name | Indian Stream Health Center, Inc |
| DBA Doing business as | |
| Authorized official | Brown, Jonathan W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jan 27th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386673952 | NPPES |
| New Hampshire | Other | 7459647 | AETNA |
| New Hampshire | MEDICAID | 8000921 | AETNA |
| New Hampshire | Other | 200010975 | AETNA |
| New Hampshire | MEDICAID | 30213617 | AETNA |
| New Hampshire | MEDICAID | 30513983 | AETNA |
| New Hampshire | Other | 8190651 | AETNA |
| New Hampshire | Other | 00068661 | AETNA |
| New Hampshire | MEDICAID | 1011463 | AETNA |
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