Provider Demographics
NPI:1265458863
Name:THE SURGICAL CARE GROUP
Entity Type:Organization
Organization Name:THE SURGICAL CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-627-1887
Mailing Address - Street 1:4 ELLIOT WAY STE 302
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3557
Mailing Address - Country:US
Mailing Address - Phone:603-627-1887
Mailing Address - Fax:603-627-1890
Practice Address - Street 1:4 ELLIOT WAY STE 302
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3557
Practice Address - Country:US
Practice Address - Phone:603-627-1887
Practice Address - Fax:603-627-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty