NPIMap

Organization Active NPI

Elliot Hospital

  • General Acute Care Hospital
  • Manchester, NH
National Provider Identifier
1508080391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
039363-23-05 Issued in NH
Legal business name
ELLIOT HOSPITAL
Practice address
275 Mammoth Rd
Suite 3
Manchester, NH 03109-4133
Phone
(603) 663-8400
Fax
(603) 663-8497
NPI assigned
Apr 12, 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
Mrs. Kathleen Mary Wiley, ARNP,MSNNPI 1871797985
Title
Adult Nurse Practitioner
Phone
(603) 663-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 039363-23-05 NH Primary

Addresses

Primary practice location

275 Mammoth Rd
Suite 3
Manchester, NH 03109-4133

Mailing address

275 Mammoth Rd
Suite 3
Manchester, NH 03109-4133
Phone (603) 663-8400

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.

Locations

275 Mammoth Rd
Ste 3
Manchester, NH 03109
Phone (603) 663-8400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508080391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD",
            "address_2": "SUITE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094133",
            "telephone_number": "603-663-8400",
            "fax_number": "603-663-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAMMOTH RD",
            "address_2": "SUITE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094133",
            "telephone_number": "603-663-8400",
            "fax_number": "603-663-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "603-663-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP,MSN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NH",
            "license": "039363-23-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.