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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