# EXPRESSMED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXPRESSMED, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407385602
- **Legal business name:** EXPRESSMED, LLC
- **Authorized official:** MR. NICHOLAS JAMES VAILAS (CEO)
- **Authorized official phone:** (603) 625-2622

## Contact information

- **Practice address:** 39 KOSCIUSZKO ST, MANCHESTER, NH 03101-1608
- **Practice address phone:** (603) 627-8053
- **Practice address fax:** (603) 627-4241
- **Mailing address:** 39 KOSCIUSZKO ST, MANCHESTER, NH 03101-1608
- **Mailing address phone:** (603) 627-8053
- **Mailing address fax:** (603) 627-4241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 04212 | NH | Yes |

## Other

- **Enumeration date:** 06/09/2017
- **Last updated:** 06/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3100771 | — | NH |