Organization
NORTH COUNTRY MEDICAL AND WELLNESS, LLC
Active
Other names
Vailas Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS VAILAS (CEO)
(603) 731-5589
Entity
Organization
Contact information
Practice address
152 COLBY ST, COLEBROOK, NH 03576
(603) 731-5589
Mailing address
700 LAKE AVE STE 2, MANCHESTER, NH 03103-2734
(603) 621-0681
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
11/25/2019
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