Affinity Telehealth LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AFFINITY TELEHEALTH LLC

Practice address

3 Wolfe LN
Bedford, NH 03110-4342

Phone

(248) 565-7169

Fax

(248) 278-4868

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Stacy Jones, DNP

Title

Owner/Aprn

Phone

(248) 565-7169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1609408020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOLFE LN",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104342",
            "telephone_number": "248-565-7169",
            "fax_number": "248-278-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOLFE LN",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104342",
            "telephone_number": "248-565-7169",
            "fax_number": "248-278-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "248-565-7169",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Bedford, NH
• Providers in Bedford, NH by specialty
• Health Service Clinic/Center in New Hampshire

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