BERWICK FAMILY HEALTH CENTER LLC (NPI# 1689903007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689903007 |
| Entity Type | Organization |
| Organization Name | BERWICK FAMILY HEALTH CENTER LLC |
| Practice Address |
36 Endicott Laconia NH 03246 |
| Mailing Address |
Po Box 719 Berwick ME 03901-0719 |
| Practice Telephone | 6033667700 |
| Practice Fax Number | 6033667775 |
| Mailing Telephone | 2076987900 |
| Mailing Fax Number | 2076987977 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | BRADLEY N LIBENSON (OWNER AND PROVIDER) |
| Authorized Official Telephone | 2076987900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1276 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30202194 | 05 | |
| ME | 174580000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558431460 | Berwick Family Health Center LLC | Family Medicine | 6c School St, Berwick, ME 03901 | 2006-11-08 |
| Street Address |
36 ENDICOTT |
| City | LACONIA |
| State | NH |
| Zip Code | 03246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| 1982816823 | Laconia Housing & Redevelopment Authority | Home Health | 25 Union Avenue, Laconia, NH 03246 | 2007-05-04 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962818757 | Cyntia A Saenz | Family Medicine | Lrgh Hospitalist Program, 80 Highland Street, Laconia, NH 03246-3235 | 2014-07-01 |
| 1053699595 | Ashwaty Menon | Family Medicine | 80 Highland St, Laconia, NH 03246-3235 | 2011-08-02 |
| 1487831376 | Bassem Azkul | Family Medicine | 22 Strafford St, Laconia, NH 03246-4701 | 2008-01-23 |
| 1023088713 | Mark J Aronson | Family Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2006-01-25 |
| 1770553745 | James H Clifford | Family Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1609437706 | Heidi Nichole Buxton | Family Medicine | 4 Donna Dr, Pembroke, NH 03275-3102 | 2019-06-28 |
| 1639645542 | Colleen Estes | Family Medicine | 45 Windemere Way, Nashua, NH 03063-7010 | 2018-10-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1023511763 | Mw Wellness Ventures I, LLC | Family Medicine | 24 Orchard View Dr Ste 2, Londonderry, NH 03053-3376 | 2018-03-08 |
| 1881195048 | Glenn Edward Mott | Family Medicine | 74 Pleasant St Ste 204, New London, NH 03257-5881 | 2018-02-23 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1750810347 | Megan M Sottak | Family Medicine | Hillside Family Medicine, 14 Maple Street, Gilford, NH 03249-6578 | 2017-06-07 |
| 1598217424 | New Dimensions Family Care, Pllc | Family Medicine | 70 Winding Brook Rd, Newbury, NH 03255-5211 | 2016-10-26 |
| 1104374735 | Passages Behavioral Health Pllc | Family Medicine | 3 Pine Street Ext, Unit B, Nashua, NH 03060-3275 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BERWICK FAMILY HEALTH CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.