Organization Active NPI

Dunning St. Ambulatory Care Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Claremont, NH
National Provider Identifier
1801853510
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DUNNING ST. AMBULATORY CARE CENTER, LLC
Practice address
7 Dunning St
Claremont, NH 03743-2016
Phone
(603) 543-3501
Fax
(603) 542-6486
NPI assigned
Apr 27, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Jyl Bradley, MS, FACMPE
Title
Administrator
Phone
(603) 543-3501

Specialties & licenses 1

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

Addresses

Primary practice location

7 Dunning St
Claremont, NH 03743-2016

Mailing address

7 Dunning St
Claremont, NH 03743-2016
Phone (603) 543-3501

Other identifiers 3

IdentifierTypeStateIssuer
0301007MedicaidVT
00800328OtherVTVERMONT BLUE SHIELD
30005202MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1801853510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DUNNING ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432016",
            "telephone_number": "603-543-3501",
            "fax_number": "603-542-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DUNNING ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432016",
            "telephone_number": "603-543-3501",
            "fax_number": "603-542-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNNING ST. AMBULATORY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-543-3501",
        "authorized_official_credential": "MS, FACMPE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301007",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT BLUE SHIELD",
            "identifier": "00800328",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005202",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.