Healthcare Provider Details

I. General information

NPI: 1033750484
Provider Name (Legal Business Name): FMH HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 WHITEHALL RD
ROCHESTER NH
03867-3226
US

IV. Provider business mailing address

11 WHITEHALL RD
ROCHESTER NH
03867-3226
US

V. Phone/Fax

Practice location:
  • Phone: 603-332-5211
  • Fax: 603-330-8969
Mailing address:
  • Phone: 603-332-5211
  • Fax: 603-330-8969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MATT R. UNTCH
Title or Position: CFO
Credential:
Phone: 603-335-8151