Merrimack River Medical Services, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MERRIMACK RIVER MEDICAL SERVICES, INC.

Practice address

323 Derry Rd
Hudson, NH 03051-3020

Phone

(603) 595-3399

Fax

(603) 579-2734

NPI assigned

Nov 21, 2005

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Merrimack River Medical Services, Inc.

  dba Health Care Resource Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lewiston, ME
  • NPI 1740573161

  O20200505000935

  Same enrollment
• Merrimack River Medical Services, Inc.

  dba Health Care Resource Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, ME
  • NPI 1912233826

  O20200505000935

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1952384299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576458",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 DERRY RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513020",
            "telephone_number": "603-595-3399",
            "fax_number": "603-579-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781119",
            "country_code": "US",
            "telephone_number": "603-953-0077",
            "fax_number": "603-953-0078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 Shattuck Way",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017879",
            "country_code": "US",
            "telephone_number": "603-436-0448",
            "fax_number": "603-436-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERRIMACK RIVER MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820000309",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Jon McKay II, PA-C
• Medpark Wellness Center LLC
• Michelle Lauren Mercuri, AGNP-C
• Claire Flynn Merrill, CRSW
• Merrimac Medical Investors, LLC (Fairview Nursing Home)
• Amanda Elizabeth Messina
• Kyra Kristine Messina, PHARMD
• Jessica Rose Milliken, DMD
• Gail Miserandino
• Abaigeal Molinari

• Substance Use Disorder Rehabilitation Clinic/Center in Hudson, NH
• Providers in Hudson, NH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.