Provider Demographics
NPI:1376530162
Name:HOLY CROSS HEALTH CENTER INC
Entity Type:Organization
Organization Name:HOLY CROSS HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:OSIEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-628-3550
Mailing Address - Street 1:357 ISLAND POND RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-4811
Mailing Address - Country:US
Mailing Address - Phone:603-628-3550
Mailing Address - Fax:603-626-6270
Practice Address - Street 1:357 ISLAND POND RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03109-4811
Practice Address - Country:US
Practice Address - Phone:603-628-3550
Practice Address - Fax:603-626-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02324314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30009262Medicaid
NH305074Medicare ID - Type Unspecified