Organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Active
Parent organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Authorized official
MR. MARC CULLEROT (VICE PRESIDENT OF FINANCE)
(603) 663-8977
Entity
Organization
Contact information
Practice address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 663-2728
(603) 663-8278
Mailing address
1050 HOLT AVE, SUITE 5, MANCHESTER, NH 03109-5615
(603) 663-2728
(603) 663-8278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00018
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207512Y0NH01
ANTHE BC DME
—
01
—
2609052Y0NH01
ANTHEM BC IV
—
05
—
80002306
—
NH
Enumeration date
11/30/2011
Last updated
08/17/2012
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