Provider Demographics
NPI:1164562518
Name:TOWN OF BOW
Entity Type:Organization
Organization Name:TOWN OF BOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:H.
Authorized Official - Middle Name:DANA
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-228-4320
Mailing Address - Street 1:10 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3415
Mailing Address - Country:US
Mailing Address - Phone:603-228-4320
Mailing Address - Fax:603-228-1674
Practice Address - Street 1:10 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-3415
Practice Address - Country:US
Practice Address - Phone:603-228-4320
Practice Address - Fax:603-228-1674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0011341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7108981Y0NH01OtherANTHEM
NH30008749Medicaid
NHAM0002Medicare PIN