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Organization

LRGHEALTHCARE

Active
Parent organization
LRGHEALTHCARE
Other names
Newfound Family Practice
Organization subpart
Yes

Provider details

NPI number
Legal business name
LRGHEALTHCARE
Authorized official
MR. KEVIN W DONOVAN (PRESIDENT/CEO)
(603) 524-3211
Entity
Organization

Contact information

Practice address
5 SCHOOL ST, BRISTOL, NH 03222-3263
(603) 744-5441
(603) 744-3698
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3080972
NH
01
59780
CIGNA
NH
01
LRGH703507
ANTHEM
NH
Enumeration date
10/16/2006
Last updated
06/05/2017
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