| Mid-state Health Center | |
|
28 Main St Plymouth NH 03264-1440 | |
| (603) 536-4000 | |
| Not Available |
| Full Name | Mid-state Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Main St, Plymouth, New Hampshire |
| Authorized Official Name and Position | William Albert Sweeney (CFO) |
| Authorized Official Contact | 6035364000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-state Health Center 101 Boulder Point Dr Ste 1 Plymouth NH 03264-3170 Ph: (603) 536-4000 | Mid-state Health Center 28 Main St Plymouth NH 03264-1440 Ph: (603) 536-4000 |
| NPI Number | 1285279182 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 1951363563 |
|---|---|
| Medicare Enrollment ID | O20200416000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285279182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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