Elliot 1 Day Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

02840 Issued in NH

Legal business name

ELLIOT 1 DAY SURGERY CENTER

Practice address

185 Queen City Avenue
Manchester, NH 03101

Phone

(603) 663-3000

Fax

(603) 626-4300

NPI assigned

Mar 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Beverly Primeau, RN, MBA

Title

Administrator

Phone

(603) 663-3580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Listed as

Elliot 1 Day Surgery CenterCCN 30C0001002

Medicare certification status

ActiveFrom the Provider of Services file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1245291350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVENUE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-663-3000",
            "fax_number": "603-626-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVENUE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-663-3000",
            "fax_number": "603-626-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT 1 DAY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "PRIMEAU",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-663-3580",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "02840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80301002",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jean Eldridge, RDN, LDN
• Maxwell D Elia, MD
• Rima Elia
• Elite Transport Services Inc
• Elizabeth Spindel
• Elliot Adult Day Care
• Elliot Hospital
• Elliot Hospital
• Elliot Hospital
• Elliot Hospital

• Ambulatory Surgical Clinic/Center in Manchester, NH
• Providers in Manchester, NH by specialty
• Ambulatory Surgical Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.