BEDFORD AMBULATORY SURGICAL CENTER, LLC (NPI# 1083008080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083008080 |
| Entity Type | Organization |
| Organization Name | BEDFORD AMBULATORY SURGICAL CENTER, LLC |
| Other Organization Name | BASC IMAGING |
| Practice Address |
20 Washington Pl Bedford NH 03110-6743 |
| Mailing Address |
11 Washington Pl Bedford NH 03110-6747 |
| Practice Telephone | 6036223670 |
| Mailing Telephone | 6032344880 |
| Mailing Fax Number | 6036269750 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | MR. NICHOLAS VAILAS (CEO) |
| Authorized Official Telephone | 6036223670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
02756 | NH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BASC Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730277575 | Bedford Ambulatory Surgical Center, LLC | Clinic/Center | 11 Washington Pl, Bedford, NH 03110-6747 | 2006-10-10 |
| Street Address |
20 WASHINGTON PL |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972559904 | Catholic Medical Center | Internal Medicine | 20 Washington Pl, Bedford, NH 03110-6706 | 2006-05-25 |
| 1770792608 | Anne Elizabeth Molloy | Nurse Practitioner | 20 Washington Pl, Bedford, NH 03110-6743 | 2007-05-21 |
| 1144341777 | Ronald A Lamontagne | Nurse Practitioner | 20 Washington Pl, 2nd Floor, Bedford, NH 03110-6706 | 2007-04-02 |
| 1508987140 | Linda E Hale-hovan | Preventive Medicine | 20 Washington Pl, 2nd Floor, Bedford, NH 03110-6706 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356828990 | New England Molecular Imaging, LLC | Clinic/Center | 160 S River Rd, Bedford, NH 03110-6927 | 2018-07-26 |
| 1184098600 | United Medical Group | Clinic/Center | 22750 Rockside Rd, Bedford, OH 44146-1574 | 2015-11-20 |
| 1326458191 | Mid-cities Cardiac Care Center, Pllc | Clinic/Center | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2014-05-02 |
| 1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
| 1669438461 | Bedford Medical Imaging Center, LLC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-21 |
| 1780648915 | Southern New Hampshire Radiology Consultants PC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1780233056 | Speare Health Ventures, Inc. | Clinic/Center | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2019-09-09 |
| 1295265411 | Convenientmd LLC | Clinic/Center | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-06-20 |
| 1487899035 | Salem Radiology LLP | Clinic/Center | 23 Stiles Rd, Ste 102, Salem, NH 03079-2859 | 2008-12-11 |
| 1992834568 | Derry Medical Center | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2007-03-02 |
| 1891834545 | Derry Imaging Center LLC | Clinic/Center | 6 Tsienneto Rd, Suite 100l, Derry, NH 03038-1584 | 2007-02-06 |
| 1275569782 | New England Molecular Imaging, LLC | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038 | 2006-06-25 |
| 1992752604 | White Mountain Radiology Inc | Clinic/Center | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2006-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.