Adult Medicine

Internal Medicine

Internal medicine physicians are primary care doctors who specialize in diagnosis, treatment, and ongoing care of adults. They have specialized training which is very beneficial for patients with complex health concerns. They are able to treat patients over 18 years old.

Internists provide care for all levels of wellness and are very good at helping patients with more complex health issues too. Internists are often asked to act as consultants by their colleagues to address the needs of patients who have complex health issues. They spend at least three of their seven or more years in medical school learning how to prevent, diagnose, and treat diseases that affect adults.

All our providers are committed to providing a personal, comprehensive and continuing care experience for each individual patient.

Family Medicine

Family medicine includes providers who specialize in diagnosis, treatment, and ongoing wellness care of patients of all ages. Here at Mid-State we have three different types of clinicians offering family medicine:

  • Medical Doctors (MD)
  • Doctor of Osteopathic Medicine (DO)
  • Advance Practice Registered Nurses (APRN)

Family medicine is a medical specialty devoted to comprehensive health care for people of all ages. Family providers offer a full range of services in the primary care setting with a focus on continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. Our Family Medicine Providers focus on their knowledge of the patient, emphasizing disease prevention and health promotion.

All of our providers are focused on providing a personal, comprehensive and continuing care for the individual patient.

Pediatric Medicine

Child Health and Wellness

Pediatricians are primary care doctors who specialize in the diagnosis, treatment and ongoing wellness care of patients of children ranging from newborns to young adults.

Pediatricians offer a full range of services for children in the primary care setting with a focus on continuing and comprehensive health care throughout the developmental cycle from newborn to young adult. Our Pediatrician focuses on treatment of the whole child with an emphasis on successful development, growth, nutrition, prevention and health promotion strategies.

All of our providers are committed to providing a personal, comprehensive and continuing care experience for the individual patient.

Behavioral Health

Behavioral Health Services

When you receive your medical care at Mid-State, you also have the benefit of working with a Behavioral Health Provider right in the same office. Your mind and body are connected, which is why Mid-State offers integrated behavioral health as part of its health care model. Mid-State’s health care team is committed to caring for the “whole” person.

Accessing behavioral health services in the same place as your health care services allow your care team to work together on the most effective plan to meet your needs. Maybe you are struggling with trying to quit smoking or losing weight – working with one of our behavioral health providers in addition to your primary medical provider may be just the right combination of help you need. They will work together with you and your medical provider and can help you to address a wide range of personal challenges including …

Life Transitions

If you are facing a challenge such as a death in the family, divorce, or illness, they can help you to manage the stress and emotional impact.

Health Conditions

If you are diagnosed with a particular condition you are struggling to manage such as diabetes, anxiety, dementia, depression or chronic pain, they can help you work towards managing the condition to improve your life and overall outlook.

Making Behavior Changes

If you want to make changes to improve your overall health and wellness such as quitting smoking, improving your diet or reducing your stress, they can work with you to help you meet your health goals.

Everyone needs a little help sometimes, and our behavioral health providers are here to help you – in a judgment-free, caring environment.

Dental Services

Mid-State is committed to the treatment of the “whole” patient and the health of the mouth is essential to the general overall health of the body. Our dental team offers comprehensive dental services and will assist patients in maintaining a healthy mouth.  Dental Services are led by Dr. Kelly Perry, General Dentist and her team.


Dr. Kelly Perry, DMD
General Dentist


Julie Phipps, RDH
Dental Hygienist


Who can make a dental appointment?

New dental patients are welcome. New dental patients who are not yet Mid-State patients will need to complete a New Patient Packet prior to their first visit. Packets are available on our website, for pick-up in our offices, or call us at 603-744-6200 and we will mail one to you.

Where are the dental services located?

In our new office at 100 Robie Road, Bristol, NH
(On 104W, just past Family Dollar on the left)

What services do you offer?

We offer many preventive and restorative dental services.

Here is a list of our most popular:

  • Dental Exams
  • Teeth Cleaning
  • Scaling & Root Planing
  • Sealants
  • Infant oral health assessments
  • Fillings
  • Crowns
  • Simple Extractions

How much does it cost?

Fees vary by service. We accept most major dental insurances, self-paying patients and we do offer a special sliding fee scale for those who qualify.

Mid-State’s Sliding Fee Scale Application and Eligibility Guidelines

Where can I get more information or make an appointment?

Call our Bristol office at 603-744-6200. In the meantime, make sure you brush and floss your teeth every day for good oral health.

Addiction Treatment

 If you are experiencing a medical emergency, please call 911

If you or someone you know is experiencing a substance use or addiction-related crisis, call 1-844-711-HELP (4357)

 Medication Assisted Treatment (MAT) Program for Opioid Addiction

Mid-State Health Center offers a Medication Assisted Treatment Program as part of our primary care model at both Plymouth and Bristol.  Medication-assisted treatment (MAT) is the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders.  This combination of therapies is effective and can help some patients to sustain recovery.

The MAT program at Mid-State addresses the current opioid crisis.  Many people of all walks of life have become dependent on opioid medications (Vicodin, Percocet, oxycodone) and substances (heroin and Fentanyl).  Our patient-centered approach values and encourages treatment of the whole patient. We have assembled a specialized integrative team dedicated to helping patients achieve sobriety and live a life free of substances. Our goal is to help our patients learn to live without drugs by developing healthier coping skills during their course of treatment.

Treatment that includes medication is often a good choice for opioid use disorders.  Buprenorphine is an FDA approved medication for treatment of heroin or other opioid use disorders (oxycodone, hydrocodone, methadone). As part of the management of opioid misuse disorders in Mid-State’s MAT program, our patients are prescribed either buprenorphine/naloxone (Suboxone) or if pregnant, buprenorphine (Subutex) to aid in their recovery process.

While medication is effective, it is only one part of our treatment program for opioid use disorders.  We require all participants in our MAT program to participate in regular ongoing counseling with one of our behavioral health specialists in order to identify patterns of use and learn effective coping strategies.  We work with pregnant women or women who might be pregnant, to maximize the healthy course of pregnancy while seeking medication and treatment for opioid use disorders.

Getting Started in Mid-State’s MAT Program

Call us at 603-536-4000 during normal business hours to learn more and see if our MAT Program is right for you.

Note: Mid-State’s MAT Program may not be the best treatment option for everyone and requires an intake screening process ALL potential participants must complete.

Paying for your Treatment

Mid-State works with most major insurance companies, including Medicaid options. Click here for More information about payment and insurance options at Mid-State

Signs you may have an Opioid Use Disorder

Over the last 12months, have you experienced any of the following:

  • Craving, or a strong desire to use opioids.
  • Desire or unsuccessful efforts to cut down or control use.
  • A lot of time is spent in activities necessary to obtain the opioid, use the opioid, or recover from its effects.
  • Recurrent opioid use resulting in failure to fulfill major role obligations at work, school or home.
  • Continued use despite recurrent social problems caused or exacerbated by the effects of opioids.
  • Important social, occupational or recreational activities are given up or reduced because of opioid use.
  • Continued use despite knowledge of having a recurrent physical or psychological problem that is likely to have been caused or exacerbated by opioids

New Hampshire has many options for treatment statewide, use the NH Alcohol and Drug Locator to find treatment that is right for you.

Health Insurance Marketplace

The Health Insurance Marketplace: Find health coverage that meets your needs and budget!

Open Enrollment for 2017 coverage is over. But you may still have options to get health coverage.

See if you qualify for a Special Enrollment Period — so you can buy a private health plan through the Marketplace.

Apply for Medicaid and the Children’s Health Insurance Program (CHIP) — you can do this any time of the year. If you qualify, you can enroll immediately.


2018 Open Enrollment Period: November 1, 2017 – December 15, 2017

How Health Coverage Affects your Tax Return

There are three ways to explore your options and enroll, choose the one that fits you!


Visit the Health Insurance Marketplace and start your enrollment today.

  • Available 24/7
  • Register and Enroll
  • Find Answers to Questions

By Phone:

Call: 1-800-318-2596

TTY: 1-855-889-4325

  • Available 24/7
  • Register and Enroll
  • Find Answers to Questions

If you are interested in exploring your options for affordable coverage through the Health Insurance Marketplace we have trained, in-person assisters available here at Mid-State. This assistance is offered free to the community.

In-Person Assistance here at Mid-State:

Mid-State is here to help! We have trained, in-person assisters available to help you.

In-person Assisters are able to help you understand your options, help you apply on the Marketplace and can assist with questions you might have about your situation or any special enrollment issues.

In-person assistance is available here at Mid-State Monday – Friday 8:00 AM – 5:00 PM in our Bristol and Plymouth locations. Contact us if you have questions or would like to set up a meeting.
603-536-4000 Ext: 1450

Patient Support Specialist


Stacey Lembo
Patient Support Specialist

Our Patient Support Specialist, Stacey Lembo, offers a wide array of support for our patients who may be experiencing barriers of various kinds to their medical care.

Whether it is financial, transportation or emotional stress due to their current situation, these services can link our patients to the resources they need.

Our Patient Support Specialist can also meet with individuals and families to help plan for the future; whether it is receiving counseling on Advance Directives, or long term care planning for an older adult in need of care. These services aid families and individuals in the long run because they have had the time to discuss what their needs are, what options they have and develop ways to cope with the stress that often accompanies these situations.

Here are some of the things the Patient Support Specialist can help with:

  • Advance Directive and End of Life counseling
  • Long term Care Planning for Older Adults and their Families
  • Caregiver Support, “Powerful Tools for Caregiver’s Workshop”
  • Assistance with forms and applications, such as Medicaid and Food Stamps
  • Assistance with obtaining affordable Medications
  • Assistance with obtaining affordable Housing
  • Transportation
  • Links to programs such as Fuel/Electric Assistance, WIC, Food Pantries, Financial Assistance and Domestic Violence Programs
  • Patient Advocacy
  • Information about Substance Abuse Inpatient and Outpatient programs and groups
  • To make an appointment with our Patient Support Specialist, call 536-4000.

Health Coaching

Health Coaches are Registered Nurse (RNs) trained to assist patients in making sustainable life improvements. They provide guidance and education in setting individualized health goals and support in identifying and overcoming barriers to reaching those goals. Patients work with a Health Coach to develop a plan based on the patient’s personal wellness goals, needs, and available resources. Through this process, patients become empowered in their own health care experience.

The Health Coach also collaborates with clinical staff and physicians to coordinate patient care and, in general, helps patients to better understand and manage their conditions and possible medical treatments. This also includes assisting with care transitions from hospitals to home, or to rehabilitative care, assisted living, long-term care, and palliative or hospice care.

They work closely with your doctor to help you reach your health and wellness goals.


Chantal L., RN
Health Coach (Plymouth Office)


General Information:

The Health Coach works with patients of all ages and with families as a whole. If you are interested in working with one of our Health Coaches, please call to schedule an appointment. 603-536-4000

They Assist patients with chronic disease management, weight loss, and management, making healthier lifestyle choices, establishing healthy nutrition habits, non-pharmacological pain management, and stress reduction.

  • Provides patient education and health coaching for improving overall health and wellness.
  • Serves as a Patient Advocate and Facilitates Care Coordination
  • Works with all ages and with families as a whole.
  • Same-day appointments are often available.

Prescription Services

Mid-State offers Prescription Services to assist you with all your prescriptions needs. The Prescription Services team is located in our Plymouth office and is available to ALL Mid-State Health Center Patients.

Services they provide (besides a friendly smile):

  • Answer questions you have about your medications
  • Refill assistance/coordination
  • Finding assistance if you are unable to afford your medication
  • Transferring prescriptions from one pharmacy to another

Online Refills Requests

Registered users of on Mid-State’s Patient Portal have the option of requesting refills for their prescription through their own electronic access to their health information here at Mid-State.

Already a registered user? Visit Mid-State’s Patient Portal

Discount Prescription Drug Program

As a patient of Mid-State, this program ensures that you will receive the best possible discount on ALL of your prescription medications at our participating pharmacy, Wal-Mart Pharmacy in Plymouth and Rite-Aid Pharmacies in Bristol, Plymouth, and Lincoln.

How does it work?

Patients without prescription coverage:

Patients without prescription insurance, underinsured and Medicare D patients in the “Gap or Donut Hole” will SAVE money through Mid-State’s Discount Prescription Drug Program. They will receive the lowest available cost for the prescriptions. Check with the Pharmacy Team for more information.

Patients with prescription coverage:

Your co-pays are not affected. They will be the same. However, by filling your prescriptions at our participating pharmacy you will be helping Mid-State Health Center to continue to provide healthcare services to our less fortunate community members.

How to participate in the Discount Prescription Drug Program:

Ask your provider to send your prescriptions to one of our participating pharmacies:

  • Walmart Pharmacy (PLYMOUTH)