Organization
ELLIOT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES O'CONNOR (DIRECTOR PATIENT FINANCIAL SERVICES)
(603) 663-2431
Entity
Organization
Contact information
Practice address
1050 HOLT AVE, SUITE 5, MANCHESTER, NH 03109-5615
(603) 622-3781
(603) 663-5820
Mailing address
1050 HOLT AVE, SUITE 5, MANCHESTER, NH 03109-5615
(603) 622-3781
(603) 663-5820
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0510P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207512Y0NH01
ANTHEM
NH
01
—
2609052Y0NH01
ANTHEM
NH
05
—
80002306
—
NH
Enumeration date
06/13/2007
Last updated
08/22/2020
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