Indian Stream Health Center, Inc
Indian Stream Health Center, Inc is a health care provider in Colebrook, NH. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 253 Gale St, Canaan Site, Canaan, VT 05903, US |
|Practice Location Phone||603-237-8336|
|Practice Location Fax||603-237-4467|
|Legal Business Name||INDIAN STREAM HEALTH CENTER, INC|
|Other Organization Name||CANAAN SITE|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||Nov 19, 2013|
|Last Update Date ? ||Mar 30, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Indian Stream Health Center, Inc
|Specialty||Provider Type||Specialization||License||License State|
|General Practice||Allopathic & Osteopathic Physicians|| |
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC) |
Legacy Provider IDs of Indian Stream Health Center, Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
|=========||New Hampshire||Other||TAX ID|
Authorized Official of Indian Stream Health Center, Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Indian Stream Health Center, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Jonathan Brown|
|Authorized Official Title/Position||CEO|
|Authorized Official Phone Number||603-388-2426|