1164562518 NPI number — TOWN OF BOW

Table of content: (NPI 1164562518)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164562518 NPI number — TOWN OF BOW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF BOW
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164562518
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 GRANDVIEW RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOW
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03304-3415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-228-4320
Provider Business Mailing Address Fax Number:
603-223-3961

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 KNOX ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOW
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-228-4320
Provider Business Practice Location Address Fax Number:
603-223-3961
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COMEAU
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
603-228-4320

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0011 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 30008749 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7108981Y0NH01 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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