Provider Demographics
NPI:1568537942
Name:GENTER HEALTHCARE, INC.
Entity Type:Organization
Organization Name:GENTER HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTER
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:603-526-6559
Mailing Address - Street 1:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-0478
Mailing Address - Country:US
Mailing Address - Phone:603-526-6559
Mailing Address - Fax:603-526-6109
Practice Address - Street 1:28 RIDGEWOOD COMMON
Practice Address - Street 2:
Practice Address - City:WILMOT
Practice Address - State:NH
Practice Address - Zip Code:03287
Practice Address - Country:US
Practice Address - Phone:603-526-6559
Practice Address - Fax:603-526-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0177227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1537598Medicaid
MA1537598Medicaid