Reverfront Medical Group, Pc
LBN: Reverfront Medical Group, Pc
Reverfront Medical Group, Pc is an health care organization with primary practice located at 322 W Main St Suite 133, Tilton NH 03276-5017. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Reverfront Medical Group, Pc can be contacted via phone (603) 286-3800, or through Hare, Susan Marie via phone (603) 286-3800.
Contact Information
Primary practice address
322 W Main St Suite 133
Tilton NH 03276-5017
Phone: (603) 286-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10967 | New Hampshire |
| Other Service Providers / Specialist | 174400000X | 11415 | New Hampshire |
| Other Service Providers / Specialist | 174400000X | 0185862302 | New Hampshire |
Profile Details
| NPI number | 1386860716 |
|---|---|
| LBN Legal business name | Reverfront Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Hare, Susan Marie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 30th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386860716 | NPPES |
| New Hampshire | MEDICAID | 30214683 |
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