Provider Demographics
NPI:1528379401
Name:CORE PHYSICIANS, LLC
Entity Type:Organization
Organization Name:CORE PHYSICIANS, LLC
Other - Org Name:KINGSTON HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-580-7943
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2937
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:53 CHURCH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:KINGSTON
Practice Address - State:NH
Practice Address - Zip Code:03848-9997
Practice Address - Country:US
Practice Address - Phone:603-642-3910
Practice Address - Fax:603-642-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH6044280012Medicare NSC