Provider Demographics
NPI:1568527158
Name:CONCORD FEMINIST HEALTH CENTER DBA EQUALITY HEALTH CENTER
Entity Type:Organization
Organization Name:CONCORD FEMINIST HEALTH CENTER DBA EQUALITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIDUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:603-225-2739
Mailing Address - Street 1:38 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4817
Mailing Address - Country:US
Mailing Address - Phone:603-225-2739
Mailing Address - Fax:603-228-6255
Practice Address - Street 1:38 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4817
Practice Address - Country:US
Practice Address - Phone:603-225-2739
Practice Address - Fax:603-228-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99903553Medicaid
NH0108871Y0NH04OtherANTHEM BLUE CROSS/SHIELD
NHAA51788OtherHARVARD PILGRIM HEALTH
NH10048OtherCIGNA