1346321502 NPI number — TOWN OF MILTON

Table of content: (NPI 1346321502)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346321502 NPI number — TOWN OF MILTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF MILTON
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:
MILTON EMERGENCY AMBULANCE
Provider Other Organization Name Type Code:
3
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:
1346321502
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 TURCOTTE MEMORIAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROWLEY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01969-1706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-488-4351
Provider Business Mailing Address Fax Number:
978-356-2721

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
460 WHITE MTN HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-652-4501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARIQUE
Authorized Official First Name:
NICHOLAS
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
570-271-1120

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0077 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416L0300X , with the licence number: 0077 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 143730000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7106289Y0NH01 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 3083435 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com