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Organization

HERRON & SMITH, LLC

Active
Other names
Herron & Smith, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TAMME J DUSTIN (PRESIDENT/CEO)
(603) 627-8500
Entity
Organization

Contact information

Practice address
8 INDUSTRIAL PARK DR, STE. 20, HOOKSETT, NH 03106-1805
(603) 627-8500
(603) 626-0502
Mailing address
8 INDUSTRIAL PARK DR, STE. 20, HOOKSETT, NH 03106-1805
(603) 627-8500
(603) 626-0502

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02877
NH
332BC3200X
Customized Equipment (DME)
02877
NH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
02877
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007482
VT
01
1043283831
CIGNA/CARECENTRIX
NH
05
20381521
ME
05
3078970
NH
01
619864
HARVARD PILGRIM PROV. #
NH
01
7482
BC/BS PROVIDER NUMBER
VT
Enumeration date
02/10/2006
Last updated
04/21/2020
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