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COOS COUNTY FAMILY HEALTH SERVICES
NPI 1003019837
Dentist - General Practice in Berlin, NH

Active since June 08, 2007CLIA Certified · 5 labs
73 MAIN STREET, BERLIN, NH 03570(603) 752-2424(603) 752-2436 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coos County Family Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOS COUNTY FAMILY HEALTH SERVICES (NPI 1003019837) is a healthcare organization registered as a general practice in Berlin, New Hampshire and active in the NPI registry since June 2007. The organization holds 5 active CLIA laboratory certificates and lists Kenneth Gordon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003019837
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOOS COUNTY FAMILY HEALTH SERVICES
Location Address73 MAIN STREETBerlin, NH 03570
Mailing Address133 Pleasant StreetBerlin, NH 03570 · (603) 752-2040 · Fax (603) 752-1709
Phone(603) 752-2424
Fax(603) 752-2436
Organization SubpartYes
Authorized OfficialKenneth GordonCeo · (603) 752-3669
Enumeration DateJune 8, 2007
Last NPPES UpdateNovember 17, 2016
✔ NPI 1003019837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NH · 1275✔ Licensed in NH · 01275
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 04258 (NH)
73 MAIN STREET, Berlin, NH 03570
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINNH2315NH
Medicaid30301511NH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 30D0086509

Coos County Family Health Services Inc · Berlin, NH
Active · expires Jul 21, 2028
CLIA Number30D0086509
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorBrianne Teaboldt
Laboratory Phone(603) 752-2040
Laboratory LocationCoos County Family Health Services Inc133 Pleasant St, Berlin, NH 03570
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 30D2314503

Coos County Family Health Services Inc · Gorham, NH
Active · expires Nov 20, 2026
CLIA Number30D2314503
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorBrianne Teaboldt
Laboratory Phone(603) 752-2040
Laboratory LocationCoos County Family Health Services Inc2 Broadway Ave, Gorham, NH 03581
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 30D2314504

Coos County Family Health Services Inc · Gorham, NH
Active · expires Nov 20, 2026
CLIA Number30D2314504
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorBrianne Teaboldt
Laboratory Phone(603) 752-2040
Laboratory LocationCoos County Family Health Services Inc167 Main St, Ste 2, Gorham, NH 03581
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 30D2314506

Coos County Family Health Services Inc · Berlin, NH
Active · expires Nov 20, 2026
CLIA Number30D2314506
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorBrianne Teaboldt
Laboratory Phone(603) 752-2040
Laboratory LocationCoos County Family Health Services Inc59 Page Hill Rd, Berlin, NH 03570
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 30D2314507

Coos County Family Health Services Inc · Colebrook, NH
Active · expires Nov 20, 2026
CLIA Number30D2314507
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorBrianne Teaboldt
Laboratory Phone(603) 752-2040
Laboratory LocationCoos County Family Health Services Inc152 Colby St, Colebrook, NH 03576
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coos County Family Health Services's NPI number?

The NPI number for Coos County Family Health Services is 1003019837. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Coos County Family Health Services located?

Coos County Family Health Services is located at 73 Main Street, Berlin, NH 03570. The listed phone number is (603) 752-2424.

What is Coos County Family Health Services's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Coos County Family Health Services hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Coos County Family Health Services accept?

Health plans from UnitedHealthcare list Coos County Family Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coos County Family Health Services was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.