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
Phone: (603) 626-5113
Fax: (603) 622-5298
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063403996 | NPPES |
| New Hampshire | Other | CG2227 | RR MEDICARE GROUP # |
| New Hampshire | MEDICAID | 30210580 | RR MEDICARE GROUP # |
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