Provider Demographics
NPI:1053671644
Name:TOWN OF ENFIELD
Entity Type:Organization
Organization Name:TOWN OF ENFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAC
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-871-5390
Mailing Address - Street 1:PO BOX 8648
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:VT
Mailing Address - Zip Code:05451-8648
Mailing Address - Country:US
Mailing Address - Phone:028-715-3908
Mailing Address - Fax:802-871-5352
Practice Address - Street 1:23 MAIN ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03748-3044
Practice Address - Country:US
Practice Address - Phone:603-632-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-17
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0033341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance