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CONVENIENTMD LLC NPI 1174238992


NPI Information

NPI: 1174238992
Provider Name: CONVENIENTMD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 30D2285429

Address:
545 HOOKSETT RD UNIT 1
MANCHESTER, NH
ZIP 03104
Phone: (603) 255-4775
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CONVENIENTMD LLC is a family medicine in Manchester, NH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CONVENIENTMD LLC NPI is 1174238992. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

545 HOOKSETT RD UNIT 1
MANCHESTER, NH
ZIP 03104-654
Phone: (603) 255-4775

The provider's authorized official is Jarod Boissonneault .
The authorized official title is Vp, Revenue Cycle Mgt and has the following contact phone number (603) 319-6223.

The CLIA number assigned to this NPI record is 30D2285429 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2023 and was last updated on 1/16/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily 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: 5/5/2024

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