Colonial Clinical Services Llc | |
82 Newport Rd New London NH 03257-5414 | |
(603) 526-2233 | |
(603) 526-2235 |
Full Name | Colonial Clinical Services Llc |
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Speciality | Family Medicine |
Location | 82 Newport Rd, New London, New Hampshire |
Authorized Official Name and Position | Glenn Perreault (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6035262233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colonial Clinical Services Llc Po Box 10 New London NH 03257-0010 Ph: (603) 526-2233 | Colonial Clinical Services Llc 82 Newport Rd New London NH 03257-5414 Ph: (603) 526-2233 |
NPI Number | 1336711647 |
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Provider Enumeration Date | 07/15/2021 |
Last Update Date | 07/15/2021 |
Medicare PECOS PAC ID | 0547664799 |
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Medicare Enrollment ID | O20210810001587 |
Identifier | Type | State | Issuer |
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1336711647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Laura Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210810001950 |
Provider Name | Casey Rankins |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1477084663 PECOS PAC ID: 3375819956 Enrollment ID: I20221202001793 |
Patsy Catsos Advanced Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Seamans Rd, New London, NH 03257 Phone: 207-318-7629 Fax: 866-327-6528 |