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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