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Erik Randall

Individual provider Active NPI Case Manager/Care Coordinator · Lebanon, NH

NPI 1033730767 · NPPES record last updated May 5, 2020

Key facts

NPI
1033730767
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
85 Mechanic St
Lebanon, NH 03766-1537
Phone
(603) 448-5610
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Services, Inc. Current
since May 10, 2020		 Accepting new patients
West Central Services, Inc Case Manager/Care Coordinator Past
since May 10, 2020		 Accepting new patients

Locations

85 Mechanic St
Lebanon, NH 03766
Phone (603) 448-0126

9 Hanover St
#2
Lebanon, NH 03766
Phone (603) 448-0126

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

85 Mechanic St
Lebanon, NH 03766-1537

Mailing address

9 Hanover St Ste 2
Lebanon, NH 03766-1312

Other identifiers

IdentifierTypeStateIssuer
3077550MedicaidNH

Other providers in Lebanon, NH

All providers in Lebanon, NH · Case Manager/Care Coordinator in New Hampshire

Sources for this page

Verify at the official NPI Registry.