NPIMap

Organization Active NPI

CMC D/B/a Urgent Care at Bedford Medical Park

  • Urgent Care Clinic/Center
  • Bedford, NH
National Provider Identifier
1134410319
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CMC D/B/A URGENT CARE AT BEDFORD MEDICAL PARK
Practice address
5 Washington Place
Bedford, NH 03110
Phone
(603) 314-4567
NPI assigned
Apr 22, 2011
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Edward Dudley
Title
Evp/Cfo
Phone
(603) 663-6180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5 Washington Place
Bedford, NH 03110

Mailing address

195 McGregor St
Suite 310
Manchester, NH 03102-3748
Phone (603) 314-4567

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_ucbmp@gohnh.allscripts.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060801000346 NH Part B Supplier - Clinic/Group Practice 6103897129 Receives reassigned benefits from 101 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bedford, NH; Wolfeboro, NH; Peterborough, NH; Manchester, NH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2022946Urgent Care at Bedford Medical Park Lab5 Washington PL, Ste 1B, Bedford, NH 03110Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory
Part of
Catholic Healthcare Trust

Locations

88 McGregor St
Ste 201
Manchester, NH 03102
Phone (603) 314-7595

Interoperability endpoints

  • Direct secure messaging: staff_ucbmp@gohnh.allscripts.net

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1134410319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR ST",
            "address_2": "SUITE 310",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023748",
            "telephone_number": "603-314-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-314-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC D/B/A URGENT CARE AT BEDFORD MEDICAL PARK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC MEDICAL CENTER",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "603-663-6180"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_ucbmp@gohnh.allscripts.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Washington Pl",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.