Organization Active NPI

Monadnock Health Care LLC

  • Family Medicine Physician
  • Colebrook, NH
National Provider Identifier
1194335570
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONADNOCK HEALTH CARE LLC
Practice address
6 First St
Colebrook, NH 03576-3128
Phone
(603) 237-4262
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Bethany Love Moran, MBA
Title
Business Manager
Phone
(401) 644-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6 First St
Colebrook, NH 03576-3128

Mailing address

PO Box 206
Colebrook, NH 03576-0206
Phone (603) 237-4262

Other identifiers 1

IdentifierTypeStateIssuer
1538127865OtherNPPES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Colebrook Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22109/brand/2/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1194335570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035760206",
            "telephone_number": "603-237-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FIRST ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763128",
            "telephone_number": "603-237-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "401-644-7707",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1538127865",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Colebrook",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Colebrook",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Colebrook",
            "address_1": "6 First St",
            "city": "Colebrook",
            "state": "NH",
            "country_code": "US",
            "postal_code": "035763128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colebrook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.