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Organization

ELLIOT HOSPITAL OF THE CITY OF MANCHESTER

Active
Other names
Home Medical Equipment and IV Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC G CULLEROT (VICE PRESIDENT OF FINANCE)
(603) 663-8977
Entity
Organization

Contact information

Practice address
1050 HOLT AVE, SUITE 5, MANCHESTER, NH 03109-5615
(603) 663-2728
(603) 663-5820
Mailing address
1070 HOLT AVE, SUITE 2100, MANCHESTER, NH 03109-5603
(603) 663-2728
(603) 663-5820

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
ANTHEM BC DME
NH
01
2609052Y0NH01
ANTHEM BC IV
NH
05
80002306
NH
Enumeration date
10/13/2006
Last updated
08/28/2014
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