ELLIOT 1 DAY SURGERY CENTER NPI 1245291350

NPI Information

NPI: 1245291350
Provider Name: ELLIOT 1 DAY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 30D1022405

Address:
185 QUEEN CITY AVENUE
MANCHESTER, NH
ZIP 03101
Phone: (603) 663-3000
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ELLIOT 1 DAY SURGERY CENTER is an ambulatory surgical clinic center in Manchester, NH. ELLIOT 1 DAY SURGERY CENTER NPI is 1245291350. The provider is registered as an organization entity type.

The provider's business location address is:

185 QUEEN CITY AVENUE
MANCHESTER, NH
ZIP 03101
Phone: (603) 663-3000
Fax: (603) 626-4300

The provider's authorized official is Beverly Primeau .
The authorized official title is Administrator and has the following contact phone number (603) 663-3580.

The CLIA number assigned to this NPI record is 30D1022405 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 1/7/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	02840	NEW HAMPSHIRE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	301002	MEDICARE PIN	NEW HAMPSHIRE
2	80301002	MEDICAID	NEW HAMPSHIRE

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

NPI Synchronization or Removal

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