Organization
ELLIOT PHYSICIANS NETWORK
Active
Parent organization
ELLIOT PHYSICIANS NETWORK
Other names
Granite State Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT PHYSICIANS NETWORK
Authorized official
RICHARD P. HERMAN (DIRECTOR OF OPERATIONS & FINANCE)
(603) 663-4904
Entity
Organization
Contact information
Practice address
190 TARRYTOWN RD, GRANITE STATE MEDICAL CENTER, MANCHESTER, NH 03103-2713
(603) 626-5113
(603) 622-5298
Mailing address
190 TARRYTOWN RD, GRANITE STATE MEDICAL CENTER, MANCHESTER, NH 03103-2713
(603) 626-5113
(603) 622-5298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210580
—
NH
01
—
CG2227
RR MEDICARE GROUP #
NH
Enumeration date
10/31/2005
Last updated
06/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us