NPIMap

Organization Active NPI

Expressmed, LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
National Provider Identifier
1295856896
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
03866 Issued in NH
Legal business name
EXPRESSMED, LLC
Practice address
1 Highlander Way
Suite 2
Manchester, NH 03103-7403
Phone
(603) 625-2622
Fax
(603) 626-1816
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Robin C Ostergard
Title
Credentialing Specialist
Phone
(603) 506-6833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 7412 NH
Urgent Care Clinic/Center 261QU0200X 03866 NH Primary

Addresses

Primary practice location

1 Highlander Way
Suite 2
Manchester, NH 03103-7403

Mailing address

1 Highlander Way
Manchester, NH 03103-7403
Phone (603) 625-2622

Other identifiers 1

IdentifierTypeStateIssuer
3100771MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130213000429 NH Part B Supplier - Clinic/Group Practice 6305090622 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
Practice locations: Manchester, NH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1 Highlander Way
Ste 2
Manchester, NH 03103
Phone (603) 625-2622

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1295856896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDER WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037403",
            "telephone_number": "603-625-2622",
            "fax_number": "603-626-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDER WAY",
            "address_2": "SUITE 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037403",
            "telephone_number": "603-625-2622",
            "fax_number": "603-626-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "OSTERGARD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "603-506-6833"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NH",
            "license": "7412",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NH",
            "license": "03866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100771",
            "state": "NH"
        }
    ],
    "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 Sep 13, 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.