Provider Demographics
NPI:1174500284
Name:TOWN OF PELHAM
Entity Type:Organization
Organization Name:TOWN OF PELHAM
Other - Org Name:TOWN OF PELHAM FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-635-2703
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:36 VILLAGE GRN
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-3172
Practice Address - Country:US
Practice Address - Phone:603-635-2703
Practice Address - Fax:603-635-6970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0091341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590008970OtherRR MEDICARE
NH80596249Medicaid
7106249Y0NH01OtherANTHEM BLUE CROSS
800500OtherTUFTS HEALTH
MA101459OtherBLUE CROSS BLUE SHIELD
701083OtherHARVARD PILGRIM
0024832OtherNEIGHBORHOOD HEALTH
MA1720091Medicaid
7106249Y0NH01OtherANTHEM BLUE CROSS
NH80596249Medicaid