LRGHEALTHCARE; NPI #1023108354

Contact Information

LRGHEALTHCARE

5 SCHOOL ST
BRISTOL, NH 03222-3263

Phone: 603-744-5441
Fax: 603-744-3698
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LRGHEALTHCARE

NPI # 1023108354

LBN Legal business name LRGHEALTHCARE

Authorized official KEVIN DONOVAN - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/16/2006

Last updated 06/05/2017 - About 9 years ago

Identifiers

NH	Medicaid	3080972
NH	Other	LRGH703507	ANTHEM
NH	Other	59780	CIGNA

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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