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MAT CARE CLINICS LLC NPI 1730789025


NPI Information

NPI: 1730789025
Provider Name: MAT CARE CLINICS LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 30D2296853

Address:
155 MAIN DUNSTABLE RD STE 210
NASHUA, NH
ZIP 03060
Phone: (833) 622-0628
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MAT CARE CLINICS LLC is an addiction medicine preventive medicine in Nashua, NH. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. MAT CARE CLINICS LLC NPI is 1730789025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 MAIN DUNSTABLE RD STE 210
NASHUA, NH
ZIP 03060-640
Phone: (833) 622-0628
Fax: (603) 417-5937

The provider's authorized official is Rusty Taylor .
The authorized official title is Chief Financial Officer and has the following contact phone number (561) 917-2993.

The CLIA number assigned to this NPI record is 30D2296853 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 6/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
4207Q00000XFamily MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6225100000XPhysical TherapistNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
82083A0300XPreventive MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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