PMC MEDICAL GROUP LLC NPI 1396121240

NPI Information

NPI: 1396121240
Provider Name: PMC MEDICAL GROUP, LLC

Doing Business As: ROAD TO A BETTER LIFE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 30D2057716

Address:
7 WORKS WAY
SOMERSWORTH, NH
ZIP 03878
Phone: (603) 692-3166
Get Directions

PMC MEDICAL GROUP, LLC is a general practice in Somersworth, NH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PMC MEDICAL GROUP, LLC NPI is 1396121240. The provider is registered as an organization entity type.
The provider Is Doing Business As Road To A Better Life.

The provider's business location address is:

7 WORKS WAY
SOMERSWORTH, NH
ZIP 03878-639
Phone: (603) 692-3166
Fax: (603) 692-3168

The provider's authorized official is Matthew Hogan .
The authorized official title is President and has the following contact phone number (603) 241-2406.

The CLIA number assigned to this NPI record is 30D2057716 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2015 and was last updated on 3/11/2023.

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 State	Primary
1	291U00000X	Clinical Medical Laboratory		NEW HAMPSHIRE	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		No
3	207LP2900X	Anesthesiology	Pain Medicine	NEW HAMPSHIRE	No
4	207Q00000X	Family Medicine		NEW HAMPSHIRE	No
5	2083A0300X	Preventive Medicine	Addiction Medicine		No
6	208VP0000X	Pain Medicine	Pain Medicine		No
7	208VP0014X	Pain Medicine	Interventional Pain Medicine	NEW HAMPSHIRE	No
8	208VP0014X	Pain Medicine	Interventional Pain Medicine		No
9	208D00000X	General Practice		NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3103270	MEDICAID	NEW HAMPSHIRE

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

NPI Synchronization or Removal

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