Active NPI
Mec Concord Obs LLC
- Ambulatory Surgical Clinic/Center
- Manchester, NH
National Provider Identifier
1225979123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MEC CONCORD OBS LLC
- Practice address
- 250 River Rd
Manchester, NH 03104-2423 - Phone
- (603) 668-2020
- NPI assigned
- Apr 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Wiedemann
- Title
- Billing Manager
- Phone
- (816) 610-8511
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X |
Addresses
Primary practice location
250 River Rd
Manchester, NH 03104-2423
Mailing address
250 River Rd
Manchester, NH 03104-2423
Phone (603) 668-2020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1225979123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 RIVER RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042423",
"telephone_number": "603-668-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 RIVER RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042423",
"telephone_number": "603-668-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEC CONCORD OBS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-03",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "WIEDEMANN",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "816-610-8511"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.