Provider Demographics
NPI:1831677822
Name:MONARCH FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:MONARCH FAMILY MEDICINE, LLC
Other - Org Name:VIRGINIA L. ALVORD, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALVORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-277-9162
Mailing Address - Street 1:1 OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03784-3121
Mailing Address - Country:US
Mailing Address - Phone:603-277-9162
Mailing Address - Fax:603-277-9148
Practice Address - Street 1:1 OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03784-3121
Practice Address - Country:US
Practice Address - Phone:603-277-9162
Practice Address - Fax:603-277-9148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9974261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care