NPIMap

Organization Active NPI

Hillside ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Gilford, NH
National Provider Identifier
1770714388
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2824 Issued in NH
Legal business name
HILLSIDE ASC LLC
Practice address
14 Maple St
Gilford, NH 03249-6580
Phone
(603) 527-7514
Fax
(603) 524-7548
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Mr. Henry D Lipman
Title
Evp-Cfo
Phone
(603) 527-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2824 NH Primary

Addresses

Primary practice location

14 Maple St
Gilford, NH 03249-6580

Mailing address

PO Box 678
Laconia, NH 03247-0678
Phone (603) 524-3211

Other identifiers 1

IdentifierTypeStateIssuer
30627655MedicaidNH

Other names 1

  • Hillside Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

Locations

14 Maple St
Ste 110
Gilford, NH 03249
Phone (603) 524-7514

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1770714388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032470678",
            "telephone_number": "603-524-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496580",
            "telephone_number": "603-527-7514",
            "fax_number": "603-524-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EVP-CFO",
        "authorized_official_telephone_number": "603-527-2802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30627655",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.