Elliot Oms Center

LBN: Elliot Professional Services
Elliot Oms Center is an health care organization with primary practice located at 1 Elliot Way Elliot Oms Center, Manchester NH 03103-3502. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Elliot Professional Services can be contacted via phone (603) 625-8462, or through Herman, Richard P. via phone (603) 663-4904.

Contact Information

Primary practice address
1 Elliot Way Elliot Oms Center Manchester NH 03103-3502
Fax: (603) 669-2711
Website:
Authorized official contact:
Name: Herman, Richard P.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1255314951
LBN Legal business name Elliot Professional Services
DBA Doing business as Elliot Oms Center
Authorized official Herman, Richard P.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 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 1255314951 NPPES
New Hampshire Other CK3360 RR MEDICARE
New Hampshire MEDICAID 30313860 RR MEDICARE

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