NPIMap

Organization Active NPI

MH Health Care Services, PC

  • Non-Pharmacy Dispensing Site
  • Colchester, VT
National Provider Identifier
1316260631
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MH HEALTH CARE SERVICES, PC
Practice address
354 Mountain View Dr
Suite 300
Colchester, VT 05446-5968
Phone
(802) 857-0400
Fax
(802) 655-3607
NPI assigned
Mar 2, 2010
Organization subpart
Yes
Parent organization
MH HEALTH CARE SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Ms. Nancy Carlson, M.D.
Title
President
Phone
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

354 Mountain View Dr
Suite 300
Colchester, VT 05446-5968

Mailing address

4509 W Stone Dr
C/O Bae Health Clinic
Kingsport, TN 37660-1048
Phone (423) 578-6484

Other names 1

  • MH Health Care Services at BAE Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Health Care Services PC151 organizations share this tax ID, including this one
Part of
MH Health Care Services PC

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4509 W Stone Dr
Kingsport, TN 37660
Phone (423) 578-6484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1316260631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 W STONE DR",
            "address_2": "C/O BAE HEALTH CLINIC",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376601048",
            "telephone_number": "423-578-6484",
            "fax_number": "423-578-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MOUNTAIN VIEW DR",
            "address_2": "SUITE 300",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465968",
            "telephone_number": "802-857-0400",
            "fax_number": "802-655-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HEALTH CARE SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH HEALTH CARE SERVICES, PC",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MH Health Care Services at BAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.