Bedford Ambulatory Surgical Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

02756 Issued in NH

Legal business name

BEDFORD AMBULATORY SURGICAL CENTER, LLC

Practice address

20 Washington PL
Bedford, NH 03110-6743

Phone

(603) 622-3670

NPI assigned

Mar 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nicholas Vailas

Title

Ceo

Phone

(603) 622-3670

Specialties & licenses 1

Addresses

Other names 1

• BASC Imaging Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bedford Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bedford, NH
  • NPI 1730277575

  3577716596

  Same PAC ID

Tax ID family

Basc Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bedford Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bedford, NH
  • NPI 1730277575
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David D Hou, MD

  • Diagnostic Radiology Physician
  • Manchester, NH
  • NPI 1629015409
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1083008080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106747",
            "telephone_number": "603-234-4880",
            "fax_number": "603-626-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106743",
            "telephone_number": "603-622-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "VAILAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-622-3670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NH",
            "license": "02756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASC Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zubin S Batlivala, MD
• Erin Marie Beals, OTR/L
• Christine Beaudoin, LMFT
• Tina Beaudoin, N.D.
• Natalie G Bedard
• Bedford Ambulatory Surgical Center, LLC
• Bedford Center for Prosthodontics
• Bedford Commons Dental PLLC
• Bedford Commons OB GYN PA
• Bedford Commons Periodontics PA

• Radiology Clinic/Center in Bedford, NH
• Providers in Bedford, NH by specialty
• Radiology Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.