Active NPI
Bedford Ambulatory Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Bedford, NH
National Provider Identifier
1730277575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 02756
- Legal business name
- BEDFORD AMBULATORY SURGICAL CENTER, LLC
- Practice address
- 11 Washington PL
Bedford, NH 03110-6747 - Phone
- (603) 622-3670
- Fax
- (603) 622-9134
- NPI assigned
- Oct 10, 2006
- 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
- Ms. Sue Majewski
- Title
- Coo
- Phone
- (603) 622-3670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 02756 | NH | Primary |
Addresses
Primary practice location
11 Washington PL
Bedford, NH 03110-6747
Mailing address
11 Washington PL
Bedford, NH 03110-6747
Phone (603) 622-3670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130513000028 | NH | Part B Supplier - Ambulatory Surgical Center | 3577716596 | Practice locations: Bedford, NH |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Radiology Clinic/Center
- Bedford, NH
- NPI 1083008080
3577716596
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Bedford Ambulatory 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 |
|---|---|---|---|
| 30D0876940 | Bedford Ambulatory Surgical Center | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Basc Imaging
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Bedford, NH
- NPI 1083008080
Locations
407 Riverway Pl
Bedford, NH 03110
Phone (603) 668-1421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1730277575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WASHINGTON PL",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106747",
"telephone_number": "603-622-3670",
"fax_number": "603-622-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WASHINGTON PL",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106747",
"telephone_number": "603-622-3670",
"fax_number": "603-622-9134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDFORD AMBULATORY SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "MAJEWSKI",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "603-622-3670",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NH",
"license": "02756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.