Healthcare Provider Details

I. General information

NPI: 1427717800
Provider Name (Legal Business Name): GRANITE STATE UC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FERRY ST STE 302
CONCORD NH
03301-5081
US

IV. Provider business mailing address

10 FERRY ST STE 302
CONCORD NH
03301-5081
US

V. Phone/Fax

Practice location:
  • Phone: 603-333-1471
  • Fax:
Mailing address:
  • Phone: 603-333-1471
  • Fax: 603-255-7286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCUS J HAMPERS
Title or Position: MANAGING EMPLOYEE
Credential: MD
Phone: 603-333-1471