NPIMap

Organization Active NPI

Elliot Hospital

  • Home Infusion Therapy Pharmacy
  • Manchester, NH
National Provider Identifier
1366646234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
0510P Issued in NH
Legal business name
ELLIOT HOSPITAL
Practice address
1050 Holt Ave
Suite 5
Manchester, NH 03109-5615
Phone
(603) 622-3781
Fax
(603) 663-5820
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James O'Connor
Title
Director Patient Financial Services
Phone
(603) 663-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 0510P NH Primary

Addresses

Primary practice location

1050 Holt Ave
Suite 5
Manchester, NH 03109-5615

Mailing address

1050 Holt Ave
Suite 5
Manchester, NH 03109-5615
Phone (603) 622-3781

Other identifiers 3

IdentifierTypeStateIssuer
80002306MedicaidNH
1207512Y0NH01OtherNHANTHEM
2609052Y0NH01OtherNHANTHEM

National Provider Directory

National Provider Directory
Tax ID family
Elliot Adult Day Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366646234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HOLT AVE",
            "address_2": "SUITE 5",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095615",
            "telephone_number": "603-622-3781",
            "fax_number": "603-663-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HOLT AVE",
            "address_2": "SUITE 5",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095615",
            "telephone_number": "603-622-3781",
            "fax_number": "603-663-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "603-663-2431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NH",
            "license": "0510P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002306",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1207512Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "2609052Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.