Concord Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

03034 Issued in NH

Legal business name

CONCORD AMBULATORY SURGERY CENTER, LLC

Practice address

60 Commercial St
Suite 301
Concord, NH 03301-5071

Phone

(603) 415-9460

Fax

(603) 415-9465

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Burns

Title

Authorized Official of Corporation

Phone

(603) 227-7000

Specialties & licenses 1

Addresses

Other identifiers 8

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417993494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST",
            "address_2": "SUITE 301",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015071",
            "telephone_number": "603-415-9460",
            "fax_number": "603-415-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST",
            "address_2": "SUITE 301",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015071",
            "telephone_number": "603-415-9460",
            "fax_number": "603-415-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL OF CORPORATION",
        "authorized_official_telephone_number": "603-227-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "03034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "002489615001",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30623452",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2241466",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7170718",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTINS POINT PROVIDER",
            "identifier": "00066359",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PROVIDER",
            "identifier": "904456",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "73992",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "18Y007689NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Conboy, LADC, LCS
• Concentra Health Services, Inc.
• Concentric Counseling, PLLC
• Concord Adult Daycare LLC
• Concord Allergy, PLLC
• Concord Behavioral Health, LLC
• Concord Birth Center
• Concord CTC, LLC (Concord Comprehensive Treatment Center)
• Concord Dental Associates, PLLC
• Concord Endodontics, PLLC

• Ambulatory Surgical Clinic/Center in Concord, NH
• Providers in Concord, NH by specialty
• Ambulatory Surgical Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.