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PEMBROKE WELLNESS CENTER
NPI 1255547261
Family Medicine in Pembroke, NH

Active since May 15, 2007CLIA 30D0936635 · Microscopy
48 GLASS ST, PEMBROKE, NH 03275(603) 485-7788 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pembroke Wellness Center NPPES

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

PEMBROKE WELLNESS CENTER (NPI 1255547261) is a healthcare organization registered as a family medicine in Pembroke, New Hampshire and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through July 14, 2027 and lists Debborah J Kaitz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255547261
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEMBROKE WELLNESS CENTER
Location Address48 GLASS STPembroke, NH 03275-1506
Mailing Address48 Glass StPembroke, NH 03275-1506 · (603) 485-7788
Phone(603) 485-7788
Organization SubpartNo
Authorized OfficialDebborah J KaitzOffice Manager · (603) 485-7788
Enumeration DateMay 15, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1255547261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
48 GLASS ST, Pembroke, NH 03275
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Other Identifiers 2

Medicaid30010430NH
Other37162NH · Cigna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 30D0936635

Pembroke Wellness Center PLLC · Pembroke, NH
Active · expires Jul 14, 2027
CLIA Number30D0936635
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorJennifer Mackenzie
Laboratory Phone(603) 485-7788
Laboratory LocationPembroke Wellness Center PLLC48 Glass St, Pembroke, NH 03275
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. MARY MARGARITA BACON ARNP
Nurse Practitioner (Family)
48 GLASS ST
PEMBROKE, NH 03275
Merrimack County (603) 485-7788
PEMBROKE WELLNESS CENTER PLLC
Family Medicine
48 GLASS ST
PEMBROKE, NH 03275
Merrimack County (603) 485-7788
DR. STEVEN H KAITZ MD
Family Medicine
48 GLASS ST
PEMBROKE, NH 03275
Merrimack County (603) 485-7788

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 Pembroke Wellness Center's NPI number?

The NPI number for Pembroke Wellness Center is 1255547261. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Pembroke Wellness Center located?

Pembroke Wellness Center is located at 48 Glass St, Pembroke, NH 03275. The listed phone number is (603) 485-7788.

What is Pembroke Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pembroke Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 30D0936635) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pembroke Wellness Center was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.