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CROSSROADS FAMILY MEDICINE PLLC NPI 1891953568


NPI Information

NPI: 1891953568
Provider Name: CROSSROADS FAMILY MEDICINE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 30D1086221

Address:
194A PLEASANT ST STE 101
CONCORD, NH
ZIP 03301
Phone: (603) 856-8828
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CROSSROADS FAMILY MEDICINE PLLC is a primary care clinic center in Concord, NH. CROSSROADS FAMILY MEDICINE PLLC NPI is 1891953568. The provider is registered as an organization entity type.

The provider's business location address is:

194A PLEASANT ST STE 101
CONCORD, NH
ZIP 03301-960
Phone: (603) 856-8828
Fax: (603) 856-8813

The provider's authorized official is Peter Cochrane Loeser .
The authorized official title is Manager and has the following contact phone number (603) 856-8828.

The CLIA number assigned to this NPI record is 30D1086221 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/29/2008 and was last updated on 3/8/2023.


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
1261QP2300XClinic/CenterPrimary Care11066NEW HAMPSHIREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13078556MEDICAIDNEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.