Provider Demographics
NPI:1033736517
Name:LAMPREY HEALTH CARE, INC.
Entity Type:Organization
Organization Name:LAMPREY HEALTH CARE, INC.
Other - Org Name:LAMPREY HEALTH CARE AT NASHUA SOUP KITCHEN AND SHELTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-922-7214
Mailing Address - Street 1:207 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1835
Mailing Address - Country:US
Mailing Address - Phone:603-659-3106
Mailing Address - Fax:603-659-8003
Practice Address - Street 1:2 QUINCY ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3417
Practice Address - Country:US
Practice Address - Phone:603-292-7292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAMPREY HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-30
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)