Colonial Clinical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLONIAL CLINICAL SERVICES LLC

Practice address

82 Newport Rd
New London, NH 03257-5414

Phone

(603) 526-2233

Fax

(603) 526-2235

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Glenn Perreault, PHARMDNPI 1295357218

Title

Owner/Authorized Official

Phone

(603) 526-2233

Specialties & licenses 1

Addresses

Practitioners 2

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

• Glenn L Perreault, RPH

  • Pharmacist
  • New London, NH
  • NPI 1295357218
  NPD Authorized official
• Kelcey Wilson, PHARMD

  • Pharmacist
  • Lebanon, NH
  • NPI 1396627667
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1336711647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032570010",
            "telephone_number": "603-526-2233",
            "fax_number": "603-526-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575414",
            "telephone_number": "603-526-2233",
            "fax_number": "603-526-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "603-526-2233",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane C. Caldwell, PT
• Megan Call, PH.D.
• Daniel J Carlin, M.D.
• CL Counseling PLLC
• Christopher Lee Clemens, DMD
• Concord Orthopaedics Professional Association
• Concord Pediatric Dentistry of New London, PLLC
• Jesse Corriveau, LAT, ATC
• Counseling Associates of New London PLLC
• Maria Alexandrovna Coy, MS, LCMHC

• All providers in New London, NH
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.