Organization Active NPI

Bedford Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bedford, NH
National Provider Identifier
1730277575
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
02756 Issued in NH
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

Updated by the provider on May 7, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bedford Ambulatory Surgical Center LLCCCN 30C0001009
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0876940Bedford Ambulatory Surgical Center11 Washington PL, Bedford, NH 03110Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Basc Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.