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NEW HAMPSHIRE DETOX
NPI 1073106274
Substance Abuse Rehabilitation Facility in Bethlehem, NH

Active since February 18, 2021CLIA 30D2219632 · Waiver
2957 MAIN STREET, BETHLEHEM, NH 03574(410) 807-8471 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Nov 17, 2023, Oct 6, 2023 and 5 more (8 updates tracked since 2021).

About New Hampshire Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW HAMPSHIRE DETOX (NPI 1073106274) is a healthcare organization registered as a substance abuse rehabilitation facility in Bethlehem, New Hampshire and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Kim Brown, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1073106274
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBONFIRE BEHAVIORAL HEALTH LLC
Location Address2957 MAIN STREETBethlehem, NH 03574
Mailing Address10461 Mill Run Cir Ste 810Owings Mills, MD 21117-5549 · (410) 807-8471
Phone(410) 807-8471
Organization SubpartNo
Authorized OfficialKim BrownDirector Of Compliance · (870) 243-7219
Enumeration DateFebruary 18, 2021
Last NPPES UpdateJanuary 12, 20248 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1073106274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2957 MAIN STREET, Bethlehem, NH 03574
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Other Names 1

Doing Business AsNew Hampshire Detox

Other Identifiers 1

Medicaid3127887NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2219632

Bonfire Behavioral Health Dba New Hampshire Detox · Bethlehem, NH
Active · expires May 13, 2028
CLIA Number30D2219632
Laboratory TypeSud Treatment Facility
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorDr. Richard Marasa
Laboratory Phone(603) 403-5552
Laboratory LocationBonfire Behavioral Health Dba New Hampshire Detox2957 Main St, Bethlehem, NH 03574
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET DUSSAULT
Counselor (Addiction (Substance Use Disorder))
2957 MAIN STREET
BETHLEHEM, NH 03574
Grafton County (603) 869-2210
TRI-COUNTY COMMUNITY ACTION INC
Substance Abuse Rehabilitation Facility
2957 MAIN STREET
BETHLEHEM, NH 03574
Grafton County (603) 869-2210
MRS. MARTHA TURCOTTE
Social Worker
2957 MAIN STREET
BETHLEHEM, NH 03574
Grafton County (603) 869-2210
GLORIA GENNA
Social Worker
2957 MAIN STREET
BETHLEHEM, NH 03574
Grafton County (603) 869-2210
CAROL HOUGHTON
Counselor (Addiction (Substance Use Disorder))
2957 MAIN STREET
BETHLEHEM, NH 03574
Grafton County (603) 617-4815
MELONY LYONS
Counselor (Addiction (Substance Use Disorder))
2957 MAIN STREET
BETHLEHEM, NH 03574
Grafton County (603) 869-2210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonfire Behavioral Health LLC's NPI number?

The NPI number for Bonfire Behavioral Health LLC is 1073106274. It was assigned to this organization in the NPPES registry on February 18, 2021. The provider is doing business as New Hampshire Detox.

Where is Bonfire Behavioral Health LLC located?

Bonfire Behavioral Health LLC is located at 2957 Main Street, Bethlehem, NH 03574. The listed phone number is (410) 807-8471.

What is Bonfire Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Bonfire Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2219632) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bonfire Behavioral Health LLC accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Bonfire Behavioral Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonfire Behavioral Health LLC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.