Mid-State Health Center in Plymouth - Federally Qualified Health Center (fqhc)
Mid-State Health Center - NPI 1235170549
Mid-State Health Center is a Federally Qualified Health Center (fqhc) in Plymouth, New Hampshire. Mid-State Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mid-State Health Center is 1235170549. The last update date is 2021-07-27.
Mid-State Health Center's current location address is 101 Boulder Point Drive, Plymouth, New Hampshire. You can contact this provider via phone number 6035364000 and fax number 6035364001. The mailing address for Mid-State Health Center is 101 Boulder Point Drive, Plymouth, New Hampshire. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mid-State Health Center |
---|---|
Address | 101 Boulder Point Drive, Plymouth, New Hampshire |
Phone Number | 6035364000 |
Fax Number | 6035364001 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
---|---|
Authorized Official Name | Macleod Robert |
Telephone Number | 6035364000 |
NPI Number Detail
NPI Number | 1235170549 |
---|---|
Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2021-07-27 |
Provider Mailing Address Detail
Address | 101 Boulder Point Drive |
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City | Plymouth |
State | New Hampshire (NH) |
Post Code | 3264 |
Phone Number | 6035364000 |
Fax Number | 6035364001 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
---|---|
Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
30009302 | NH | -- | |
3070979 | NH | -- | |
30514289 | NH | -- |
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What is the unique 10-digit identifier code assigned to Mid-State Health Center by the Centers for Medicare & Medicaid Services?
The Mid-State Health Center has been issued the NPI (National Provider Identifier) 1235170549 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mid-State Health Center's physical address?
The Mid-State Health Center is physically located at 101 Boulder Point Drive, in the city of Plymouth, NH, with the postal code 3264.
What is the Mid-State Health Center's specialty and taxonomy code?
The Mid-State Health Center's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Mid-State Health Center receive its 1235170549 assignment from the Centers for Medicare & Medicaid Services?
The Mid-State Health Center was assigned its 1235170549 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the details related to Mid-State Health Center most recently updated or revised?
The information pertaining to Mid-State Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-27.
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