Mid-state Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bristol, New Hampshire. The current practice location for Mid-state Health Center is 100 Robie Road, Bristol, New Hampshire. For appointments, you can reach them via phone at
(603) 744-6200. The mailing address for Mid-state Health Center is 101 Boulder Point Drive, Suite 1, Plymouth, New Hampshire and phone number is (603) 536-4000.
Mid-state Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1225154065. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(603) 744-6200.
Primary Care Clinic Profile
| Full Name | Mid-state Health Center |
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| Speciality | Clinic/Center |
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| Location | 100 Robie Road, Bristol, New Hampshire |
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| Authorized Official Name and Position | Robert Macleod (CEO) |
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| Authorized Official Contact | 6035364000 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mid-state Health Center
101 Boulder Point Drive
Suite 1
Plymouth
NH 03264
Ph: (603) 536-4000 | Mid-state Health Center
100 Robie Road
Bristol
NH 03222-4506
Ph: (603) 744-6200 |
NPI Details:
| NPI Number | 1225154065 |
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| Provider Enumeration Date | 03/22/2007 |
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| Last Update Date | 07/27/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1951363563 |
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| Medicare Enrollment ID | O20060323000822 |
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Medical Identifiers
Medical identifiers for Mid-state Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225154065 | NPI | - | NPPES |
| 30009302 | Medicaid | NH | |
| 30514289 | Medicaid | NH | |
| 3070980 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mid-state Health Center acts as a billing entity for following providers:
| Provider Name | Tonya F Warren |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1316977424
PECOS PAC ID: 7911905401
Enrollment ID: I20090728000565 |
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