Provider Demographics
NPI:1205821204
Name:TOWN OF BRISTOL
Entity Type:Organization
Organization Name:TOWN OF BRISTOL
Other - Org Name:TOWN OF BRISTOL FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANNUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-744-2632
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 1:230 LAKE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:NH
Practice Address - Zip Code:03222-3572
Practice Address - Country:US
Practice Address - Phone:603-744-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7106270Y0NH01OtherANTHEM BCBS
NH49006270Medicaid
NH590009688OtherRR MEDICARE
NH688316OtherTUFTS HEALTH PLAN
NH606172OtherHARVARD PILGRIM