NORTH COUNTRY MEDICAL WELLNESS, LLC; NPI #1083133870

Contact Information

NORTH COUNTRY MEDICAL WELLNESS, LLC

152 COLBY ST
COLEBROOK, NH 03576

Phone: 603-331-0500
Fax: 603-237-8100
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for NORTH COUNTRY MEDICAL WELLNESS, LLC

NPI #	`1083133870`
LBN Legal business name	NORTH COUNTRY MEDICAL WELLNESS, LLC
Authorized official	NICHOLAS VAILAS - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/13/2017
Last updated	11/25/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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