Organization
MERRIMACK RIVER MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
323 DERRY RD, HUDSON, NH 03051-3020
(603) 595-3399
(603) 579-2734
Mailing address
1720 LAKEPOINTE DR, LEWISVILLE, TX 75057-6458
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820000309
—
NH
Enumeration date
11/21/2005
Last updated
07/29/2024
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