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GRANITE STATE MEDICAL CENTER
NPI 1063403996
Internal Medicine in Manchester, NH

Active since October 31, 2005
190 TARRYTOWN RD, GRANITE STATE MEDICAL CENTER, MANCHESTER, NH 03103(603) 626-5113(603) 622-5298 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Granite State Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANITE STATE MEDICAL CENTER (NPI 1063403996) is a healthcare organization registered as an internal medicine in Manchester, New Hampshire and active in the NPI registry since October 2005. The organization lists Richard P. Herman, Director Of Operations & Finance, as its authorized official.

NPPES Registry Identity

NPI1063403996
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELLIOT PHYSICIANS NETWORK
Location Address190 TARRYTOWN RD, GRANITE STATE MEDICAL CENTERManchester, NH 03103-2713
Mailing Address190 Tarrytown Rd, Granite State Medical CenterManchester, NH 03103-2713 · (603) 626-5113 · Fax (603) 622-5298
Phone(603) 626-5113
Fax(603) 622-5298
Organization SubpartYes
Authorized OfficialRichard P. HermanDirector Of Operations & Finance · (603) 663-4904
Enumeration DateOctober 31, 2005
Last NPPES UpdateJune 20, 2008
✔ NPI 1063403996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
190 TARRYTOWN RD, Manchester, NH 03103
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Other Names 1

Doing Business AsGranite State Medical Center

Other Identifiers 3

Medicare ID-Type UnspecifiedRE5600NH · Medicare Group #
Medicaid30210580NH
OtherCG2227NH · Rr Medicare Group #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elliot Physicians Network's NPI number?

The NPI number for Elliot Physicians Network is 1063403996. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Granite State Medical Center.

Where is Elliot Physicians Network located?

Elliot Physicians Network is located at 190 Tarrytown Rd Granite State Medical Center, Manchester, NH 03103. The listed phone number is (603) 626-5113.

What is Elliot Physicians Network's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Elliot Physicians Network was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.