Provider Demographics
NPI:1811236664
Name:AMOSKEAG PRIMARY CARE
Entity Type:Organization
Organization Name:AMOSKEAG PRIMARY CARE
Other - Org Name:CATHOLIC MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:NURE PRACTICIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISEMER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, FNP-BC
Authorized Official - Phone:603-623-3343
Mailing Address - Street 1:300 SHERBURNE RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-3373
Mailing Address - Country:US
Mailing Address - Phone:603-557-0458
Mailing Address - Fax:603-623-7924
Practice Address - Street 1:1650 ELM ST
Practice Address - Street 2:SUITE 302
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-623-7924
Practice Address - Fax:603-623-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH052850-23261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care