Provider Demographics
NPI:1326141227
Name:T MURRAY WELLNESS CENTER INC
Entity Type:Organization
Organization Name:T MURRAY WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-447-3112
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-0244
Mailing Address - Country:US
Mailing Address - Phone:603-447-3112
Mailing Address - Fax:603-447-3112
Practice Address - Street 1:24 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-0244
Practice Address - Country:US
Practice Address - Phone:603-447-3112
Practice Address - Fax:603-447-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30233887Medicaid
NH$$$$$$$$$OtherDR MURRAY SOCIAL SECURITY
NH1568573731OtherDR MURRAY IND NPI #
NHRE8494OtherDR MURRAY MEDICARE #
NH30233887Medicaid
NH30233887Medicaid