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Organization
CONCORD AMBULATORY SURGERY CENTER, LLC
Active
Organization
CONCORD AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BURNS (AUTHORIZED OFFICIAL OF CORPORATION)
(603) 227-7000
Entity
Organization
Contact information
Practice address
60 COMMERCIAL ST, SUITE 301, CONCORD, NH 03301-5071
(603) 415-9460
(603) 415-9465
Mailing address
60 COMMERCIAL ST, SUITE 301, CONCORD, NH 03301-5071
(603) 415-9460
(603) 415-9465
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
03034
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00066359
MARTINS POINT PROVIDER
NH
01
—
002489615001
UNITED HEALTHCARE PROVIDE
NH
01
—
18Y007689NH01
ANTHEM PROVIDER NUMBER
NH
01
—
2241466
FIRST HEALTH
NH
05
—
30623452
—
NH
01
—
7170718
AETNA
NH
01
—
73992
CIGNA PROVIDER NUMBER
NH
01
—
904456
HARVARD PILGRIM PROVIDER
NH
Enumeration date
06/20/2006
Last updated
08/22/2020
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