1568439800 NPI number — TOWN OF WATERVILLE VALLEY

Table of content: (NPI 1568439800)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568439800 NPI number — TOWN OF WATERVILLE VALLEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF WATERVILLE VALLEY
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:
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:
1568439800
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2013
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:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 TRIPOLI RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATERVILLE VALLEY
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-236-8809
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DROPKIN
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS COORDINATOR
Authorized Official Telephone Number:
603-236-8809

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0115 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7106322Y0NH01 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 801078 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30006120 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1433033XX . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 590004820 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 700491 . This is a "HARVARD PILGRIM HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0026128 . This is a "NEIGHBORHOOD HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 609014500 . This is a "DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".




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