Provider Demographics
NPI:1710592977
Name:LAMPREY HEALTH CARE INC
Entity Type:Organization
Organization Name:LAMPREY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CODING COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALWARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-292-7292
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:603-659-5892
Practice Address - Street 1:10 TSIENNETO RD
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1505
Practice Address - Country:US
Practice Address - Phone:603-659-3106
Practice Address - Fax:603-659-5892
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAMPREY HEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Single Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty