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MERRIMACK RIVER MEDICAL SERVICES

Addiction Substance Use Disorder

Hudson, New Hampshire

Provider NPI: 1952384299

Organization Information:
Organization Name:  MERRIMACK RIVER MEDICAL SERVICES
Organization is not Subpart
Authorized Official:  AMY  GARRON  BILLING SUPERVISOR  413-4851306

Practice Location:
323 DERRY RD  HUDSON, NH 03051 US
Tel: 603-595-3399  Fax: 603-579-2734

Business Mailing Address:
125 N ELM ST  WESTFIELD, MA 01085 US
Tel: 413-485-1306  Fax: 413-562-8360

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
N163WA0400XNursing Service Providers
Registered Nurse
N164W00000XNursing Service Providers
Licensed Practical Nurse
N207RA0401XPhysicians
Internal Medicine
Y261QM2800XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
820000309NH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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