Organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC CULLEROT (VICE PRESIDENT OF FINANCE)
(603) 663-8977
Entity
Organization
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2431
(603) 663-5820
Mailing address
PO BOX 2040, MANCHESTER, NH 03105-2040
(603) 663-2431
(603) 663-5820
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
00018
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300012
ANTHEM BLUE CROSS
NH
05
—
80300012
—
NH
01
—
900122
HARVARD PILGRIM HEALTH PL
NH
01
—
904223
TUFTS HEALTH PLAN
NH
01
—
H000556
TRICARE
NH
01
—
OTHER
MVP HEALTH PLAN
NH
Enumeration date
10/13/2006
Last updated
02/08/2023
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