NPIMap

Organization Active NPI

Clearchoicemd, PLLC

  • Urgent Care Clinic/Center
  • Alton, NH
National Provider Identifier
1720705403
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CLEARCHOICEMD, PLLC
Practice address
24 Homestead PL
Alton, NH 03809-4913
Phone
(603) 822-4713
Fax
(603) 875-0490
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Marcus J Hampers, MDNPI 1093743379
Title
Owner/Ceo
Phone
(603) 526-4635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

24 Homestead PL
Alton, NH 03809-4913

Mailing address

10 Ferry St Ste 302
Concord, NH 03301-5081
Phone (603) 526-4635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127000434 NH Part A Provider - Rural Health Clinic 1850510058 Practice locations: Alton, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720705403. Details of each certification follow.

Rural health clinic certification: CCN 303818

Legal name
CLEARCHOICEMD, PLLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 30, 2024
Last certification
May 30, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
24 Homestead PL
Alton, NH 03809-4913

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

96 Daniel Webster Hwy
Belmont, NH 03220
Phone (603) 267-0656

1 Beehive Dr
Epping, NH 03042
Phone (603) 734-9202

127 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 797-9289

750 Lafayette Rd
Ste 103
Portsmouth, NH 03801
Phone (603) 427-8539

77 S Main St
Rochester, NH 03867
Phone (603) 509-9400

636 Lafayette Rd
Seabrook, NH 03874
Phone (603) 457-7830

75 Laconia Rd
Ste 500
Tilton, NH 03276
Phone (603) 729-0050

798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138

173 S Main St
Rutland, VT 05701
Phone (802) 722-4165

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marcus Hampers Individual 5% Or Greater Direct Ownership InterestManaging Employee May 28, 2015 100%
W-2 Managing EmployeeAd;MD; May 25, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 59

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 59

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1720705403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FERRY ST STE 302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015081",
            "telephone_number": "603-526-4635",
            "fax_number": "603-526-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD PL",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038094913",
            "telephone_number": "603-822-4713",
            "fax_number": "603-875-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARCHOICEMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "HAMPERS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "603-526-4635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, NH

Sources for this page

Verify at the official NPI Registry.