Pembroke Wellness Center
Organization Active NPI Family Medicine Physician · Pembroke, NH
NPI 1255547261 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1255547261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PEMBROKE WELLNESS CENTER
- Practice address
- 48 Glass St
Pembroke, NH 03275-1506 - Phone
- (603) 485-7788
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Debborah J Kaitz
- Title
- Office Manager
- Phone
- (603) 485-7788
Practitioners 1
National Provider Directory
Locations
48 Glass St
Pembroke, NH 03275
Phone (603) 485-7788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
48 Glass St
Pembroke, NH 03275-1506
Mailing address
48 Glass St
Pembroke, NH 03275-1506
Phone (603) 485-7788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37162 | Other | NH | CIGNA |
| 30010430 | Medicaid | NH |
Other providers in Pembroke, NH
- Michael J Neveu
- NH Mobile Foot Care Clinic LLC
- Nhoms, PLLC
- Robert Niegisch
- Pembroke School District
- Pembroke Wellness Center PLLC
- Ciara Phelps
- Jennifer Phillips
- Ryan Shirilla
- Softouch for Wellness, PLLC
All providers in Pembroke, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.