Active NPI
PMC Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Merrimack, NH
National Provider Identifier
1861877425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PMC SURGICAL CENTER, LLC
- Practice address
- 1 Mound CT
Merrimack, NH 03054-4488 - Phone
- (603) 424-8866
- Fax
- (603) 424-8868
- NPI assigned
- Jul 24, 2015
- Organization subpart
- Yes
- Parent organization
- CURAM, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Wiltshire
- Title
- Provider Relations Manager
- Phone
- (603) 841-2314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1 Mound CT
Merrimack, NH 03054-4488
Mailing address
7 Works Way
Somersworth, NH 03878-1639
Phone (603) 692-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3137548 | Medicaid | NH |
Other names 1
- Granite State SurgiCenter
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asc.merrimack.fac.25@21697.direct.athenahealth.com | PMC Surgical Center, LLC |
National Provider Directory
National Provider DirectoryLocations
1 Mound Ct
Merrimack, NH 03054
Phone (603) 424-8866
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Barrington, NH
- NPI 1336187855
-
- Pain Medicine (Anesthesiology) Physician
- Concord, NH
- NPI 1619904901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666224000000",
"number": "1861877425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WORKS WAY",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781639",
"telephone_number": "603-692-3166",
"fax_number": "603-692-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MOUND CT",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544488",
"telephone_number": "603-424-8866",
"fax_number": "603-424-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMC SURGICAL CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CURAM, LLC",
"enumeration_date": "2015-07-24",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A",
"authorized_official_last_name": "WILTSHIRE",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
"authorized_official_telephone_number": "603-841-2314"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3137548",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asc.merrimack.fac.25@21697.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "PMC Surgical Center, LLC",
"address_1": "7 Works Way",
"city": "Somersworth",
"state": "NH",
"country_code": "US",
"postal_code": "038781639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Granite State SurgiCenter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.