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Organization
MID-STATE HEALTH CENTER
Active
Organization
MID-STATE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MACLEOD (CEO)
(603) 536-4000
Entity
Organization
Contact information
Practice address
28 MAIN ST, PLYMOUTH, NH 03264-1440
(603) 536-4000
(603) 536-4001
Mailing address
101 BOULDER POINT DR STE 1, PLYMOUTH, NH 03264-3170
(603) 536-4000
(603) 536-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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