Granite State Medical Center

LBN: Elliot Physicians Network
Granite State Medical Center is an health care organization with primary practice located at 190 Tarrytown Rd Granite State Medical Center, Manchester NH 03103-2713. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Elliot Physicians Network can be contacted via phone (603) 626-5113, or through Herman, Richard P. via phone (603) 663-4904.

Contact Information

Primary practice address
190 Tarrytown Rd Granite State Medical Center Manchester NH 03103-2713
Fax: (603) 622-5298
Website:
Authorized official contact:
Name: Herman, Richard P.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1063403996
LBN Legal business name Elliot Physicians Network
DBA Doing business as Granite State Medical Center
Authorized official Herman, Richard P.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 31st, 2005
Last updated Jun 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063403996 NPPES
New Hampshire Other CG2227 RR MEDICARE GROUP #
New Hampshire MEDICAID 30210580 RR MEDICARE GROUP #

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