=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417944778
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERRIMACK VALLEY ENDOSCOPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2005
-----------------------------------------------------
Last Update Date | 10/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 PARKWAY
-----------------------------------------------------
City | HAVERHILL
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01830-6278
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-521-3235
-----------------------------------------------------
Fax | 978-521-3236
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 PARKWAY
-----------------------------------------------------
City | HAVERHILL
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01830-6278
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-521-3235
-----------------------------------------------------
Fax | 978-521-3236
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT & COO
-----------------------------------------------------
Name | LINDSAY GAINER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 857-282-3914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------