1801856612 NPI number — WILTON LYNDEBOROUGH VOLUNTEER AMBULANCE

Table of content: (NPI 1801856612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801856612 NPI number — WILTON LYNDEBOROUGH VOLUNTEER AMBULANCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILTON LYNDEBOROUGH VOLUNTEER AMBULANCE
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:
1801856612
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2009
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:
404 FOREST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03086-5129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-654-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCENTEE
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATION
Authorized Official Telephone Number:
603-654-2222

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0121 , 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: ZD7797 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 590013265 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 701752 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7106327Y0NH01 . This is a "ANTHEM BLUE CROSS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 803914 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30009515 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com