# EXPRESS MED AT SALEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164831806
- **Authorized official:** NICHOLAS VAILAS (OWNER)
- **Authorized official phone:** (603) 731-5589

## Contact information

- **Practice address:** 159 N BROADWAY, SALEM, NH 03079-2127
- **Practice address phone:** (603) 898-0961
- **Practice address fax:** (603) 898-0964
- **Mailing address:** 55 BRIDGE ST, MANCHESTER, NH 03101-1603
- **Mailing address phone:** (603) 232-4513
- **Mailing address fax:** (603) 232-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 02/29/2024