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

NPI Status: Active since October 31, 2005

Contact Information

190 TARRYTOWN RD
GRANITE STATE MEDICAL CENTER
MANCHESTER, NH
ZIP 03103
Phone: (603) 626-5113
Fax: (603) 622-5298

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  • Organization
  • Internal Medicine

About GRANITE STATE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Granite State Medical Center, an internist established in Manchester, New Hampshire operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1063403996 assigned on October 2005. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Granite State Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Granite State Medical Center. The authorized official of this NPI record is Richard P. Herman (Director Of Operations & Finance)

NPI
1063403996
Provider Legal Name
ELLIOT PHYSICIANS NETWORK
Other Organization Name
GRANITE STATE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
190 TARRYTOWN RD GRANITE STATE MEDICAL CENTER MANCHESTER, NH 03103
Location Phone
(603) 626-5113
Location Fax
(603) 622-5298
Mailing Address
190 TARRYTOWN RD GRANITE STATE MEDICAL CENTER MANCHESTER, NH 03103
Mailing Phone
(603) 626-5113
Mailing Fax
(603) 622-5298
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-31-2005
Last Update Date
06-20-2008
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An internist like Granite State Medical Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD P. HERMAN

Authorized Official Title
DIRECTOR OF OPERATIONS & FINANCE
Authorized Official Phone
(603) 663-4904

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
RE5600MEDICARE ID-TYPE UNSPECIFIED (04)NHMEDICARE GROUP #
30210580MEDICAID (05)NH 
CG2227OTHER (01)NHRR MEDICARE GROUP #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063403996
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123806918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 0 + 6 + 9 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1063403996 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063403996, enumerated in the NPI registry as an "organization" on October 31, 2005

The provider is located at 190 Tarrytown Rd Granite State Medical Center Manchester, Nh 03103 and the phone number is (603) 626-5113

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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