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GRANITE STATE EMERGENCY PHYSICIANS PC NPI 1619038023


NPI Information

NPI: 1619038023
Provider Name: GRANITE STATE EMERGENCY PHYSICIANS PC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
100 MCGREGOR ST
MANCHESTER, NH
ZIP 03102
Phone: (603) 663-6472
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GRANITE STATE EMERGENCY PHYSICIANS PC is an emergency medical services emergency medicine in Manchester, NH. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. GRANITE STATE EMERGENCY PHYSICIANS PC NPI is 1619038023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MCGREGOR ST
MANCHESTER, NH
ZIP 03102-730
Phone: (603) 663-6472
Fax: (603) 663-6645

The provider's authorized official is Kathleen Zaffino .
The authorized official title is PRESIDENT MEDICAL DIRECTORMedical Director and has the following contact phone number (603) 663-6472.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/4/2008.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
1625983OTHERTUFTS
29755331MEDICAIDMASSACHUSETTS
3RE8949MEDICARE PINNEW HAMPSHIRE
450Y004300NH01OTHERNEW HAMPSHIREANTHEM
530214885MEDICAIDNEW HAMPSHIRE
638691OTHERBMC HEALTHNET PLAN
77838900OTHERAETNA
8DF6851OTHERRAILROAD MEDICARE
9612301300OTHEROWCP

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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