ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (NPI# 1902996028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902996028 |
| Entity Type | Organization |
| Organization Name | ELLIOT HOSPITAL OF THE CITY OF MANCHESTER |
| Practice Address |
1 Elliot Way Manchester NH 03103-3502 |
| Mailing Address |
Po Box 2040 Manchester NH 03105-2040 |
| Practice Telephone | 6036632431 |
| Practice Fax Number | 6036635820 |
| Mailing Telephone | 6036632431 |
| Mailing Fax Number | 6036635820 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-05-10 |
| Authorized Official Name | MR. MARC CULLEROT (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 6036638977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 00018 | NH | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80300012 | 05 | |
| NH | ANTHEM BLUE CROSS | 300012 | 01 |
| NH | MVP HEALTH PLAN | OTHER | 01 |
| NH | TRICARE | H000556 | 01 |
| NH | HARVARD PILGRIM HEALTH PL | 900122 | 01 |
| NH | TUFTS HEALTH PLAN | 904223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1689764482 | Elliot Hospital of The City of Manchester | Durable Medical Equipment & Medical Supplies | 1050 Holt Ave, Suite 5, Manchester, NH 03109-5615 | 2006-10-13 |
| 1881031854 | Elliot Hospital of The City of Manchester | Pharmacy | 175 Queen City Ave, Suite 1, Manchester, NH 03101 | 2013-05-30 |
| 1427325729 | Elliot Hospital of The City of Manchester | Durable Medical Equipment & Medical Supplies | 185 Queen City Ave, Manchester, NH 03101-7121 | 2011-11-30 |
| 1992880009 | Elliot Hospital of The City of Manchester | Psychiatric Unit | 1 Elliot Way, Manchester, NH 03103-3502 | 2006-10-26 |
| Street Address |
1 ELLIOT WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006253 | Benjamin J Grudinskas Jr. | Anesthesiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2005-07-11 |
| 1437766904 | Samantha Oslin | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-09-28 |
| 1104439603 | Kerry Mcdonald | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-08-25 |
| 1851912331 | Katrina M Sibley | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1346861895 | Rebecca Lauren Hicks | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1386270320 | Brooke E Kanehl | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-03-22 |
| 1598306383 | Rachel Marie Baroody | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-10-02 |
| 1407417355 | Oluwatoyin Oshin | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-06-21 |
| 1316504103 | Diana Renee Tanner | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-05-28 |
| 1376004622 | Courtney A O'connor | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2019-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336404169 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St, Manchester, CT 06040-4131 | 2012-07-09 |
| 1740571397 | Eastern Connectitcut Medical Professionals | General Acute Care Hospital | 71 Haynes St, Suite 1209, Manchester, CT 06040-4131 | 2011-04-29 |
| 1760789143 | Amy Bacon-ford | General Acute Care Hospital | 1 Elliot Way, Manchester, NH 03103-3502 | 2011-02-21 |
| 1649417643 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St., Patient Financial Services, Manchester, CT 06040-4105 | 2009-01-13 |
| 1508080391 | Elliot Hospital | General Acute Care Hospital | 275 Mammoth Rd, Suite 3, Manchester, NH 03109-4133 | 2007-04-12 |
| 1104995281 | Coffee Medical Group LLC | General Acute Care Hospital | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-11-06 |
| 1477653731 | Manchester Vamc | General Acute Care Hospital | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-09-25 |
| 1427154335 | Catholic Medical Center | General Acute Care Hospital | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366836694 | Nadine Larochelle | General Acute Care Hospital | 3 Lorraine Dr, Londonderry, NH 03053-6125 | 2015-03-25 |
| 1912335910 | Robert B Dawson IIi | General Acute Care Hospital | 32 Biscayne Pkwy, Nashua, NH 03064-1169 | 2013-10-29 |
| 1609171875 | Nslij Health System | General Acute Care Hospital | 16 Glenwood Ave, Dover, NH 03820-2412 | 2011-01-20 |
| 1437158433 | Exeter Hospital Inc | General Acute Care Hospital | 5 Alumni Drive, Exeter, NH 03833-4831 | 2005-07-20 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1437627411 | Christine Gallup | General Acute Care Hospital | 250 Pleasant St, Concord, NH 03301-7539 | 2018-11-07 |
| 1215397633 | Dartmouth-hitchcock Medical Center | General Acute Care Hospital | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2016-02-26 |
| 1184019804 | New London Hospital Inc | General Acute Care Hospital | 273 County Rd, New London, NH 03257-5736 | 2015-03-31 |
| 1194030395 | Dartmouth Hitchcock Psychiatric Associates | General Acute Care Hospital | 1 Medical Center Dr, 5d, Lebanon, NH 03756-1000 | 2010-08-11 |
| 1346402047 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-06-25 |
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| City | MANCHESTER |
| Zip Code | 03103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.