MID-STATE HEALTH CENTER – NPI #1144069758
Clinic/Center

MID-STATE HEALTH CENTER is an AHC clinic located in GLENCLIFF, NH. NPPES has assigned the NPI number 1144069758 to MID-STATE HEALTH CENTER on May 22, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID-STATE HEALTH CENTER below.

NPI Profile for
MID-STATE HEALTH CENTER

NPI Number
1144069758
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID-STATE HEALTH CENTER
Primary location
393 HIGH ST
GLENCLIFF, NH 03238
Phone: (603) 536-4000 Fax: (603) 536-4001
Mailing address
101 BOULDER POINT DR STE 1
PLYMOUTH, NH 03264-3170
Phone: (603) 536-4000 Fax: (603) 536-4001
Organization Subpart
No
Authorized Official
ROBERT MACLEOD
CEO
Phone: (603) 536-4000
Updated
Certification Date
May 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.