Organization Active NPI

Monadnock Worksource Incorporated

  • Developmental Disabilities Clinic/Center
  • Peterborough, NH
National Provider Identifier
1114518974
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MONADNOCK WORKSOURCE INCORPORATED
Practice address
9 Vose Farm Rd Ste 150
Peterborough, NH 03458-2155
Phone
(603) 924-3326
Fax
(603) 924-3328
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert T Gillis
Title
Interim Executive Director
Phone
(603) 924-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

9 Vose Farm Rd Ste 150
Peterborough, NH 03458-2155

Mailing address

PO Box 28
Peterborough, NH 03458-0028
Phone (603) 924-3326

National Provider Directory

National Provider Directory

Locations

9 Vose Farm Rd
Ste 150
Peterborough, NH 03458
Phone (603) 924-3326

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1114518974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034580028",
            "telephone_number": "603-924-3326",
            "fax_number": "603-924-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VOSE FARM RD STE 150",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582155",
            "telephone_number": "603-924-3326",
            "fax_number": "603-924-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK WORKSOURCE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-924-3326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.