Healthcare Provider Details

I. General information

NPI: 1679533582
Provider Name (Legal Business Name): MARTIN'S POINT HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 CORPORATE DR
PORTSMOUTH NH
03801-6825
US

IV. Provider business mailing address

161 CORPORATE DR
PORTSMOUTH NH
03801-6825
US

V. Phone/Fax

Practice location:
  • Phone: 603-436-0562
  • Fax: 603-427-6155
Mailing address:
  • Phone: 603-436-0562
  • Fax: 603-427-6155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number0416P
License Number StateNH

VIII. Authorized Official

Name: JANET NADEAU-LEAVITT
Title or Position: PORTSMOUTH PHARMACY MANAGER
Credential: R.PH.
Phone: 603-436-0562