INDIAN STREAM HEALTH CENTER, INC – NPI #1386673952
Clinic/Center

INDIAN STREAM HEALTH CENTER, INC is an AHC clinic located in COLEBROOK, NH. NPPES has assigned the NPI number 1386673952 to INDIAN STREAM HEALTH CENTER, INC on July 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 11 years ago on Jan 27, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIAN STREAM HEALTH CENTER, INC below.

NPI Profile for
INDIAN STREAM HEALTH CENTER, INC

NPI Number
1386673952
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIAN STREAM HEALTH CENTER, INC
Primary location
141 CORLISS LANE
COLEBROOK, NH 03576
Phone: (603) 237-8336 Fax: (603) 237-4467
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JONATHAN BROWN
CEO
Phone: (603) 388-2426
Updated
Identifiers

Identifiers for INDIAN STREAM HEALTH CENTER, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNANH7459647
OTHERBCBS OF VTVT00068661
OTHERCIGNANH8190651
OTHERMVPNH200010975
MEDICAIDNH30513983
MEDICAIDNH30213617
MEDICAIDVT1011463
MEDICAIDVT8000921
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 NH
208D00000X
- General Practice		 NH

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.