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Contact Information

ELLIOT PROFESSIONAL SERVICES
1 ELLIOT WAY
ELLIOT INTENSIVIST PROGRAM
MANCHESTER, NH03103-3502
 Phone: 603-663-2231
 Fax: 603-663-2353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELLIOT PROFESSIONAL SERVICES

NPI # 1013006717
LBN Legal business name ELLIOT PROFESSIONAL SERVICES
Authorized official RICHARD HERMAN - (DIRECTOR OF OPERATIONS & FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/12/2006
Last updated 06/20/2008 - About 18 years ago
Identifiers
NH Medicaid 30234596
NH Other CK3360 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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