MID-STATE HEALTH CENTER (NPI# 1952852956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952852956 |
Entity Type | Organization |
Organization Name | MID-STATE HEALTH CENTER |
Practice Address |
607 Tenney Mountain Hwy Ste 144 Plymouth NH 03264-3156 |
Mailing Address |
101 Boulder Point Dr Ste 1 Plymouth NH 03264-3170 |
Practice Telephone | 6035364000 |
Practice Fax Number | 6035364001 |
Enumeration Date | 2016-10-14 |
Last Update Date | 2016-10-14 |
Authorized Official Name | WILLIAM ALBERT SWEENEY JR. (CFO) |
Authorized Official Telephone | 6032383502 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | MEDICARE FQHC NUMBER | 301817 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235170549 | Mid-state Health Center | Psychologist | 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264 | 2006-06-09 |
1285279182 | Mid-state Health Center | Clinic/Center | 258 Highland St, Plymouth, NH 03264-3612 | 2019-11-14 |
1609354208 | Mid-state Health Center | Clinic/Center | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2018-08-06 |
1114322666 | Mid-state Health Center | Nurse Practitioner | 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 | 2014-10-27 |
1811156409 | Mid-state Health Center | Internal Medicine | 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 | 2008-06-09 |
1912166083 | Mid-state Health Center | Family Medicine | 859 Lake St, Bristol, NH 03222-4506 | 2008-06-04 |
1336262195 | Mid-state Health Center | Psychologist | 15 N Main St, Suite 9, Wolfeboro, NH 03894 | 2007-04-09 |
1225154065 | Mid-state Health Center | Family Medicine | 859 Lake St, Bristol, NH 03222-4506 | 2007-03-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MID-STATE HEALTH CENTER | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 |
Street Address |
607 TENNEY MOUNTAIN HWY STE 144 |
City | PLYMOUTH |
State | NH |
Zip Code | 03264-3156 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154609303 | Kim Lorraine Willey | Massage Therapist | 607 Tenney Mountain Hwy Ste 144, Plymouth, NH 03264-3156 | 2011-07-21 |
1235661257 | Caitlin Elizabeth Cummings | Naturopath | 607 Tenney Mountain Hwy Ste 144, Plymouth, NH 03264-3156 | 2017-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
Find all providers in zip 03264 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
1285279182 | Mid-state Health Center | Clinic/Center | 258 Highland St, Plymouth, NH 03264-3612 | 2019-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841806361 | Healthfirst Family Care Center, Inc. | Clinic/Center | 175 Central St, Franklin, NH 03235-1778 | 2020-09-21 |
1033736517 | Lamprey Health Care, Inc. | Clinic/Center | 2 Quincy St, Nashua, NH 03060-3417 | 2020-06-30 |
1851916977 | Greater Seacoast Community Health | Clinic/Center | 1 Lafayette Rd Bldg 1, Hampton, NH 03842-2626 | 2020-06-15 |
1154984714 | Catholic Medical Center | Clinic/Center | 293 Wilson St Ste 102, Manchester, NH 03103-5021 | 2019-04-19 |
1265936322 | Harbor Homes, Inc. | Clinic/Center | 10-12 Amherst St., Nashua, NH 03064 | 2018-03-22 |
1295287761 | Greater Seacoast Community Health | Clinic/Center | 146 Lafayette Rd, Seabrook, NH 03874-4510 | 2016-10-31 |
1881978658 | Greater Seacoast Community Health | Clinic/Center | 600 Lafayette Rd, Portsmouth, NH 03801-5435 | 2011-09-28 |
1285928259 | Catholic Medical Center | Clinic/Center | 177 Lake Ave, Manchester, NH 03103-5321 | 2011-06-07 |
1982821765 | Ammonoosuc Community Health Services, Inc | Clinic/Center | 333 Nhroute 25, Warren, NH 03279-4431 | 2007-04-20 |
1942215819 | Catholic Medical Center | Clinic/Center | 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 | 2006-07-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.