Organization
MID-STATE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S BEATY (CHIEF EXECUTIVE OFFICER)
(603) 536-4000
Entity
Organization
Contact information
Practice address
101 BOULDER POINT DR, SUITE 1, PLYMOUTH, NH 03264-3170
(603) 856-1728
Mailing address
101 BOULDER POINT DR, SUITE 1, PLYMOUTH, NH 03264-3170
(603) 856-1728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
058640-23
NH
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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