Mount Prospect Academy, Inc.

LBN: Mount Prospect Academy, Inc.
Mount Prospect Academy, Inc. is an health care organization with primary practice located at 350 Main St , Plymouth NH 03264-4518. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Mount Prospect Academy, Inc. can be contacted via phone (603) 536-1102, or through Wolter, Jay T via phone (603) 353-9102.

Contact Information

Primary practice address
350 Main St Plymouth NH 03264-4518
Phone: (603) 536-1102
Fax: (603) 536-3074
Website:
Map and Directions
Authorized official contact:
Name: Wolter, Jay T
Phone: (603) 353-9102

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1720281264
LBN Legal business name Mount Prospect Academy, Inc.
DBA Doing business as
Authorized official Wolter, Jay T
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Aug 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720281264 NPPES
New Hampshire MEDICAID 30854897
New Hampshire MEDICAID 30832240

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