| Mid-state Health Center | |
|
101 Boulder Point Drive Suite 1 Plymouth NH 03264 | |
| (603) 536-4000 | |
| (603) 536-4001 |
| Full Name | Mid-state Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Boulder Point Drive, Plymouth, New Hampshire |
| Authorized Official Name and Position | Robert Macleod (CEO) |
| Authorized Official Contact | 6035364000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-state Health Center 101 Boulder Point Drive Suite 1 Plymouth NH 03264 Ph: (603) 536-4000 | Mid-state Health Center 101 Boulder Point Drive Suite 1 Plymouth NH 03264 Ph: (603) 536-4000 |
| NPI Number | 1235170549 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 1951363563 |
|---|---|
| Medicare Enrollment ID | O20041027000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235170549 | NPI | - | NPPES |
| 30009302 | Medicaid | NH | |
| 3070979 | Medicaid | NH | |
| 30514289 | Medicaid | NH |
| Provider Name | David Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841220423 PECOS PAC ID: 0941118608 Enrollment ID: I20031215000412 |
| Provider Name | Lane Thomas Beatty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467533166 PECOS PAC ID: 1052385564 Enrollment ID: I20040820001049 |
| Provider Name | Jill H Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902012859 PECOS PAC ID: 5991741803 Enrollment ID: I20050630000789 |
| Provider Name | Frederick S Kelsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518908151 PECOS PAC ID: 2567495419 Enrollment ID: I20050913000158 |
| Provider Name | Carolyn Haskell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376524595 PECOS PAC ID: 7618889791 Enrollment ID: I20051222000718 |
| Provider Name | Stephen J Regan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336127000 PECOS PAC ID: 7315969615 Enrollment ID: I20051230000153 |
| Provider Name | Alan E Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821039371 PECOS PAC ID: 5193748796 Enrollment ID: I20060110000559 |
| Provider Name | Kathleen Wood Hedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730271966 PECOS PAC ID: 2668472481 Enrollment ID: I20061229000368 |
| Provider Name | Nicole V Fischler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356490312 PECOS PAC ID: 3779575634 Enrollment ID: I20070328000526 |
| Provider Name | Kimberly P Fader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437344355 PECOS PAC ID: 7113014796 Enrollment ID: I20071029000640 |
| Provider Name | Kara B Hamill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245414044 PECOS PAC ID: 6002808433 Enrollment ID: I20080215000103 |
| Provider Name | Tonya F Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316977424 PECOS PAC ID: 7911905401 Enrollment ID: I20090728000565 |
| Provider Name | Pamela R Hixon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760710131 PECOS PAC ID: 3971644303 Enrollment ID: I20100107000621 |
| Provider Name | Leesa A Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962612879 PECOS PAC ID: 2365414836 Enrollment ID: I20100113000683 |
| Provider Name | Gary Diederich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720029259 PECOS PAC ID: 6103950258 Enrollment ID: I20100811001035 |
| Provider Name | Matthew R Scagliarini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427379544 PECOS PAC ID: 3678699667 Enrollment ID: I20100928000192 |
| Provider Name | Andrea M Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669796546 PECOS PAC ID: 9436309614 Enrollment ID: I20121024000467 |
| Provider Name | Claire Ellen Scigliano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952647448 PECOS PAC ID: 6305090259 Enrollment ID: I20130131000374 |
| Provider Name | Carol G Lurie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518078104 PECOS PAC ID: 7012152259 Enrollment ID: I20130318000353 |
| Provider Name | Kathleen A Mackay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750424586 PECOS PAC ID: 9234148701 Enrollment ID: I20140617001650 |
| Provider Name | Joseph Mckellar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487919056 PECOS PAC ID: 5991925489 Enrollment ID: I20141006000371 |
| Provider Name | Katrina Dopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962807735 PECOS PAC ID: 7315253770 Enrollment ID: I20150831001101 |
| Provider Name | Hannah Beth Steinitz |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1235388166 PECOS PAC ID: 2062604416 Enrollment ID: I20161019000435 |
| Provider Name | Juanita M Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880514 PECOS PAC ID: 6204117559 Enrollment ID: I20161229000896 |
| Provider Name | Teresa Katherine Elaine Smith De Cherif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386818730 PECOS PAC ID: 7719175967 Enrollment ID: I20180112001086 |
| Provider Name | Ann G Petersson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063915684 PECOS PAC ID: 4385908953 Enrollment ID: I20180507001665 |
| Provider Name | Rebecca Dawn Lacasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758141 PECOS PAC ID: 0941533269 Enrollment ID: I20190627000894 |
| Provider Name | Danette T Colella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033109095 PECOS PAC ID: 0446483036 Enrollment ID: I20191014002836 |
| Provider Name | Tina M. Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093363194 PECOS PAC ID: 6709117989 Enrollment ID: I20191021000882 |
| Provider Name | Jennifer L Bentwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942512066 PECOS PAC ID: 7517101868 Enrollment ID: I20201217001287 |
| Provider Name | Valerie Porcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942722723 PECOS PAC ID: 2769758390 Enrollment ID: I20210107001365 |
| Provider Name | Casey Ann Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528629516 PECOS PAC ID: 0648502203 Enrollment ID: I20210311002349 |
| Provider Name | Kelley L Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942607759 PECOS PAC ID: 2264746023 Enrollment ID: I20210430001813 |
| Provider Name | Kristen Rosemary Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134606726 PECOS PAC ID: 7416208558 Enrollment ID: I20210430001994 |
| Provider Name | Jennelle Ann Guiod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154094530 PECOS PAC ID: 8527465046 Enrollment ID: I20210927002083 |
| Provider Name | Amy Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598294167 PECOS PAC ID: 7517230477 Enrollment ID: I20211108001858 |
| Provider Name | Annie M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689283954 PECOS PAC ID: 0446652937 Enrollment ID: I20211208000734 |
| Provider Name | Cecilia L Disney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235423443 PECOS PAC ID: 5395977086 Enrollment ID: I20220221000553 |
| Provider Name | Katherine Gagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770148850 PECOS PAC ID: 7911331301 Enrollment ID: I20220808001208 |
| Provider Name | Amanda Stryke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023602398 PECOS PAC ID: 7618344904 Enrollment ID: I20221028001601 |
| Provider Name | Jessie Louise Tower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225785249 PECOS PAC ID: 9234507401 Enrollment ID: I20221118000866 |
| Provider Name | Heather L Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275196271 PECOS PAC ID: 9931442712 Enrollment ID: I20230419000173 |
| Provider Name | Wesley Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144844044 PECOS PAC ID: 1355705302 Enrollment ID: I20230911001392 |
| Provider Name | Hannah Beth Steinitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235388166 PECOS PAC ID: 2062604416 Enrollment ID: I20231101003109 |
| Provider Name | Zachary Lewis Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730960899 PECOS PAC ID: 7113370990 Enrollment ID: I20240129001053 |
Onpoint Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bridge St Ste 208, Plymouth, NH 03264 Phone: 802-449-6026 | |
Sleepwellandbreathe Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Main St Ste 4-104, Plymouth, NH 03264 Phone: 856-813-6314 Fax: 888-217-1876 | |
Grow And Thrive Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Highland St, Plymouth, NH 03264 Phone: 603-254-7419 | |
Growing Roots Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Main St, Suite 305, Plymouth, NH 03264 Phone: 603-238-3149 | |
Whole Village Family Resource Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Highland St, Plymouth, NH 03264 Phone: 603-536-3720 | |
Life Improved, Limited Liability Company, Single Member Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main Street, Suite 200, Plymouth, NH 03264 Phone: 603-536-5848 Fax: 603-536-5848 |