Mid-State Health Center
Organization Active NPI Chiropractor · Plymouth, NH
NPI 1891565008 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1891565008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- MID-STATE HEALTH CENTER
- Practice address
- 101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170 - Phone
- (603) 536-4000
- Fax
- (603) 536-4001
- NPI assigned
- Jan 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Robert Macleod
- Title
- Ceo
- Phone
- (603) 536-4000
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 16
Practitioners 4
-
Jennelle Ann Guiod, APRN FNP-BC
-
Denise Poudrier Normandin, MA, RD, LD, DIPACLM
-
Matthew John Zak, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041027000215 | NH | Part B Supplier - Clinic/Group Practice | 1951363563 |
Receives reassigned benefits from 40 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bristol, NH; Lincoln, NH; Plymouth, NH |
National Provider Directory
- Tax ID family
- Sma Bristol
Locations
100 Robie Rd
Alexandria, NH 03222
Phone (603) 744-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Mailing address
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Phone (603) 536-4000
Other practice location 1
15 Town West Rd
Plymouth, NH 03264-3428
Phone (603) 536-4000
Other providers in Plymouth, NH
- Mid-State Health Center
- Mid-State Health Center
- Mid-State Health Center
- Mid-State Health Center
- Mid-State Health Center
- Mid-State Health Center
- Mid-State Health Center
- Christina Miller
- Cassandra Jolin Modoono
- Debra Monk
All providers in Plymouth, NH · Chiropractor 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 Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.