MID-STATE HEALTH CENTER
NPI 1225154065
Clinic/Center - Federally Qualified Health Center (FQHC) in Bristol, NH

Active since March 22, 2007CLIA 30D0979580 · Certificate of Compliance
100 ROBIE ROAD, BRISTOL, NH 03222(603) 744-6200(603) 536-4001 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mid-state Health Center NPPES

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

MID-STATE HEALTH CENTER (NPI 1225154065) is a healthcare organization registered as a federally qualified health center (fqhc) in Bristol, New Hampshire and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 26, 2027 and lists Robert Macleod, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225154065
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMID-STATE HEALTH CENTER
Location Address100 ROBIE ROADBristol, NH 03222-4506
Mailing Address101 Boulder Point Drive, Suite 1Plymouth, NH 03264 · (603) 536-4000 · Fax (603) 536-4001
Fax(603) 536-4001
Organization SubpartNo
Authorized OfficialRobert MacleodCeo · (603) 536-4000
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
NPI 1225154065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
100 ROBIE ROAD, Bristol, NH 03222

Other Identifiers 3

Medicaid30514289NH
Medicaid3070980NH
Medicaid30009302NH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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 Compliance 30D0979580

Mid-State Health Center · Bristol, NH
Active · expires Jun 26, 2027
CLIA Number30D0979580
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorKatherine Marie Gagan
Laboratory Phone(603) 744-6200
Laboratory LocationMid-State Health Center100 Robie Rd, Bristol, NH 03222
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

Family Medicine
100 ROBIE ROAD
BRISTOL, NH 03222
Clinical Medical Laboratory
100 ROBIE ROAD
BRISTOL, NH 03222
Nurse Practitioner (Family)
100 ROBIE ROAD
BRISTOL, NH 03222
Physician Assistant
100 ROBIE ROAD
BRISTOL, NH 03222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225154065, enumerated as an "organization" on March 22, 2007.

The provider is located at 100 ROBIE ROAD BRISTOL, NH 03222 and the phone number is (603) 744-6200.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to verify.