Active NPI
Orchard Surgical Center, LLC
Doing business as Orchard Surgical Center
- Ambulatory Surgical Clinic/Center
- Salem, NH
National Provider Identifier
1316350275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ORCHARD SURGICAL CENTER, LLC
- Doing business as
- Orchard Surgical Center
- Practice address
- 16 Keewaydin Dr
Salem, NH 03079-2839 - Phone
- (603) 401-6466
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 9, 2014
- 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
- Cathy Dentremont, R.N.
- Title
- Coo
- Phone
- (603) 401-6466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
16 Keewaydin Dr
Salem, NH 03079-2839
Mailing address
16 Keewaydin Dr
Salem, NH 03079-2839
Phone (603) 401-6466
Other names 1
- Orchard Surgical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150128001176 | NH | Part B Supplier - Ambulatory Surgical Center | 3173847803 | Practice locations: Salem, NH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Orchard Surgical Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2082193 | Orchard Surgical Center, LLC | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402272000000",
"number": "1316350275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 KEEWAYDIN DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030792839",
"telephone_number": "603-401-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 KEEWAYDIN DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030792839",
"telephone_number": "603-401-6466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORCHARD SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A",
"authorized_official_last_name": "DENTREMONT",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "603-401-6466",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orchard Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.