Provider Demographics
NPI:1043283831
Name:HERRON & SMITH, LLC
Entity type:Organization
Organization Name:HERRON & SMITH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMME
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-627-8500
Mailing Address - Street 1:8 INDUSTRIAL PARK DR
Mailing Address - Street 2:STE. 20
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1805
Mailing Address - Country:US
Mailing Address - Phone:603-627-8500
Mailing Address - Fax:603-626-0502
Practice Address - Street 1:8 INDUSTRIAL PARK DR
Practice Address - Street 2:STE. 20
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1805
Practice Address - Country:US
Practice Address - Phone:603-627-8500
Practice Address - Fax:603-626-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02877332B00000X, 332BC3200X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3078970Medicaid
NH619864OtherHARVARD PILGRIM PROV. #
NH1043283831OtherCIGNA/CARECENTRIX
ME20381521Medicaid
VT0007482Medicaid
VT7482OtherBC/BS PROVIDER NUMBER
VT0007482Medicaid