Provider Demographics
NPI:1245872183
Name:ROBIN WINTER-WEBER
Entity type:Organization
Organization Name:ROBIN WINTER-WEBER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WINTER-WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:603-387-7392
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:KEARSARGE
Mailing Address - State:NH
Mailing Address - Zip Code:03847-0171
Mailing Address - Country:US
Mailing Address - Phone:603-387-7392
Mailing Address - Fax:
Practice Address - Street 1:2473 WHITE MOUNTAIN HIGHWAY
Practice Address - Street 2:
Practice Address - City:N. CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-0386
Practice Address - Country:US
Practice Address - Phone:603-387-7392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)