Mid-State Health Center

A Medicare group practice based in Plymouth, NH: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 1951363563), with 40 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951363563The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Independent Diagnostic Testing Facility (
Enrolled in
NH
Enrollments
10
Group size
32 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 5 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20041027000215 NH Part B Supplier - Clinic/Group Practice 1811156409
O20060324000344 NH Part A Provider - Federally Qualified Health Center (FQHC) 1235170549
O20060323000822 NH Part A Provider - Federally Qualified Health Center (FQHC) 1225154065
O20251106001582 NH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1932920857
O20240723001554 NH Part A Provider - Federally Qualified Health Center (FQHC) 1639856123
O20241029003179 NH Part B Supplier - Clinic/Group Practice 1932920857
O20230124002553 NH Part B Supplier - Independent Clinical Laboratory 1033829965
O20221101002260 NH DME Supplier - Multi-Specialty - Physician 1811156409
O20220823003722 NH Part A Provider - Federally Qualified Health Center (FQHC) 1194464982
O20200416000894 NH Part A Provider - Federally Qualified Health Center (FQHC) 1285279182

NPIs in this group 13

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 40

Clinicians who reassign their Medicare benefits to this group (40) or whom Care Compare lists as members (32).

Sources for this page