Provider Demographics
NPI:1992807010
Name:MONADNOCK FAMILY SERVICES
Entity type:Organization
Organization Name:MONADNOCK FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMERGANCY SERVICES CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LYNDA
Authorized Official - Last Name:POITRAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:603-835-2120
Mailing Address - Street 1:131 GILSUM MINE RD
Mailing Address - Street 2:
Mailing Address - City:ALSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03602-3912
Mailing Address - Country:US
Mailing Address - Phone:603-835-2120
Mailing Address - Fax:
Practice Address - Street 1:17 93RD ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3748
Practice Address - Country:US
Practice Address - Phone:603-357-5270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH66323OtherEMPLOYEE