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Contact Information

GENESIS ELDERCARE PHYSICIAN SERVICES LLC
239 PLEASANT ST
PLEASANT VIEW NURSING CENTER
CONCORD, NH03301
 Phone: 603-224-6561
 Fax: 603-224-8530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GENESIS ELDERCARE PHYSICIAN SERVICES LLC

NPI # 1821011792
LBN Legal business name GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Authorized official ERIC SHAPIRO - (VP, CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 08/05/2019 - About 7 years ago
Identifiers
NH License # 045267-23-03
NH Medicaid 30212261
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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