PEMBROKE WELLNESS CENTER PLLC NPI 1396276655

NPI Information

  • NPI: 1396276655
  • Provider Name: PEMBROKE WELLNESS CENTER PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 30D0981018
  • Address: 48 GLASS ST
    PEMBROKE, NH
    ZIP 03275
  • Phone: (603) 485-7788

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NPI Details

PEMBROKE WELLNESS CENTER PLLC is a family medicine in Pembroke, 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. PEMBROKE WELLNESS CENTER PLLC NPI is 1396276655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

48 GLASS ST
PEMBROKE, NH
ZIP 03275-506
Phone: (603) 485-7788
Fax: (603) 485-7799

The provider's authorized official is Debborah Kaitz Kaitz .
The authorized official title is Rn Office Manager and has the following contact phone number (603) 485-7788.

The CLIA number assigned to this NPI record is 30D0981018 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 12/19/2022.

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: 11/21/2025

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