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ELLIOT PHYSICIANS NETWORK NPI 1154310910


NPI Information

NPI: 1154310910
Provider Name: ELLIOT PHYSICIANS NETWORK

Other Name: ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 30D0935199

Address:
15 CONSTITUTION DR
ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE
BEDFORD, NH
ZIP 03110
Phone: (603) 472-7233
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ELLIOT PHYSICIANS NETWORK is a family medicine in Bedford, NH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ELLIOT PHYSICIANS NETWORK NPI is 1154310910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elliot Family Medicine At Bedford Village.

The provider's business location address is:

15 CONSTITUTION DR
ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE
BEDFORD, NH
ZIP 03110-042
Phone: (603) 472-7233
Fax: (603) 472-9188

The provider's authorized official is Richard P. Herman .
The authorized official title is Director Of Operations & Finance and has the following contact phone number (603) 663-5766.

The CLIA number assigned to this NPI record is 30D0935199 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/14/2005 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RE5600MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIREMEDICARE GRP #
230210578MEDICAIDNEW HAMPSHIRE
3CG2227OTHERNEW HAMPSHIRERR MEDICARE GRP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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