1720089832 NPI number — TOWN OF AMHERST

Table of content: (NPI 1720089832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720089832 NPI number — TOWN OF AMHERST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF AMHERST
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:
1720089832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2020
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:
177 AMHERST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMHERST
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03031-2951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-673-1545
Provider Business Practice Location Address Fax Number:
603-672-3927
Provider Enumeration Date:
08/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CONLEY
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
603-673-1545

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 0002 , 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: 7106258Y0NH01 . This is a "MEDICOMP NH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 590014356 . This is a "RR MEDICARE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 703957 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 7106258Y0NH01 . This is a "ANTHEM BLUE CROSS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30820319 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 805950 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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