Healthcare Provider Details

I. General information

NPI: 1568537942
Provider Name (Legal Business Name): GENTER HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 RIDGEWOOD COMMON
WILMOT NH
03287
US

IV. Provider business mailing address

PO BOX 478
NEW LONDON NH
03257-0478
US

V. Phone/Fax

Practice location:
  • Phone: 603-526-6559
  • Fax: 603-526-6109
Mailing address:
  • Phone: 603-526-6559
  • Fax: 603-526-6109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number0177
License Number StateNH

VIII. Authorized Official

Name: MR. DENNIS GENTER
Title or Position: PRESIDENT
Credential: RT
Phone: 603-526-6559