Greater Pawtuckaway Imaging

LBN: Elliot Professional Services
Greater Pawtuckaway Imaging is an health care organization with primary practice located at 15 Freetown Rd Greater Pawtuckaway Imaging, Raymond NH 03077-2358. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Elliot Professional Services can be contacted via phone (603) 895-8000, or through Herman, Richard P. via phone (603) 663-4904.

Contact Information

Primary practice address
15 Freetown Rd Greater Pawtuckaway Imaging Raymond NH 03077-2358
Fax: (603) 895-8099
Website:
Authorized official contact:
Name: Herman, Richard P.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1780650457
LBN Legal business name Elliot Professional Services
DBA Doing business as Greater Pawtuckaway Imaging
Authorized official Herman, Richard P.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2008 - about 18 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 1780650457 NPPES
New Hampshire Other 3207928 AETNA GRP
New Hampshire Other 667221 AETNA GRP
New Hampshire Other 696696 AETNA GRP
New Hampshire MEDICAID 30812254 AETNA GRP
New Hampshire Other P00009327 AETNA GRP
New Hampshire Other 601463704 AETNA GRP
New Hampshire Other 626440 AETNA GRP
New Hampshire Other 15Y002260NH02 AETNA GRP

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