Provider Demographics
NPI:1437559812
Name:GOODWIN COMMUNITY HEALTH
Entity Type:Organization
Organization Name:GOODWIN COMMUNITY HEALTH
Other - Org Name:FAMILIES FIRST HEALTH & SUPPORT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-422-8208
Mailing Address - Street 1:100 CAMPUS DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5892
Mailing Address - Country:US
Mailing Address - Phone:603-422-8208
Mailing Address - Fax:603-422-8218
Practice Address - Street 1:53 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-3212
Practice Address - Country:US
Practice Address - Phone:603-422-8208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOODWIN COMMUNITY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-04
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental