# MID-STATE HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932920857
- **Authorized official:** ROBERT MACLEOD (CEO)
- **Authorized official phone:** (603) 536-4000

## Contact information

- **Practice address:** 28 MAIN ST, PLYMOUTH, NH 03264-1440
- **Practice address phone:** (603) 536-4000
- **Practice address fax:** (603) 536-4001
- **Mailing address:** 101 BOULDER POINT DR STE 1, PLYMOUTH, NH 03264-3170
- **Mailing address phone:** (603) 536-4000
- **Mailing address fax:** (603) 536-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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