LACONIA CLINIC – NPI #1194817684
Clinic/Center

LACONIA CLINIC is an AHC clinic located in LACONIA, NH. NPPES has assigned the NPI number 1194817684 to LACONIA CLINIC on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LACONIA CLINIC” is a dba name, the actual legal business name for this organization is LRG HEALTHCARE. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 19 years ago on Oct 25, 2007. 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 LACONIA CLINIC below.

NPI Profile for
LRG HEALTHCARE

NPI Number
1194817684
Enumeration Date

(more than 19 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
LRG HEALTHCARE
Doing Business As (dba): LACONIA CLINIC
Primary location
724 N MAIN ST
LACONIA, NH 03246-2742
Phone: (603) 524-5151 Fax:
Mailing address
PO BOX 10005
LEWISTON, ME 04243-9432
Phone: (603) 524-5151 Fax:
Organization Subpart
No
Authorized Official
ANDREW PATTERSON
EXECUTIVE DIRECTOR
Phone: (603) 524-5151
Updated
Identifiers

Identifiers for LACONIA CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP NUMBERNHRE8109
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
261QM1300X
- Clinic/Center / Multi-Specialty (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.