340B Drug Pricing Program Database
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RRC300012-20 ELLIOT HOSPITAL (Active)
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Main Details
Name
ELLIOT HOSPITAL
Subdivision Name
RIVER'S EDGE- PLASTIC & RECONSTRUCTIVE SUGERY - PBB Specialty Care
Type
Rural Referral Center
Rural
No
340B ID
RRC300012-20
Medicare Provider Number
300012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/28/2024
Last Recertification Date
Contacts
Authorizing Official
Elliot Hospital
Joseph Tate Curti, COO
(603) 663-2082
Primary Contact
Elliot Hospital
Michelle Marie Andrade, 340B Program Manager
(603) 663-2430
Addresses
Street Address
185 Queen City Avenue
Manchester, NH 03101
Billing Address
Elliot Hospital
1 Elliot Way
Manchester, NH 03103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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