1699785287 NPI number — TOWN OF DUNBARTON

Table of content: (NPI 1699785287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699785287 NPI number — TOWN OF DUNBARTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF DUNBARTON
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:
TOWN OF DUNBARTON FIRE DEPT
Provider Other Organization Name Type Code:
5
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:
1699785287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1011 SCHOOL STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUNBARTON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03046-4816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-774-3541
Provider Business Mailing Address Fax Number:
603-774-5601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 ROBERT ROGERS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNBARTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-774-3541
Provider Business Practice Location Address Fax Number:
603-774-5601
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WIGGIN
Authorized Official First Name:
JONATHAN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
603-774-3542

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0146 , 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: 71Y002996NH01 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30821572 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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