Provider Demographics
NPI:1225077142
Name:RJ DILUZIO AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:RJ DILUZIO AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DILUZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-357-0341
Mailing Address - Street 1:70 MAIN ST UNIT 200
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-2467
Mailing Address - Country:US
Mailing Address - Phone:603-924-7797
Mailing Address - Fax:603-822-2813
Practice Address - Street 1:49 COURT ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3404
Practice Address - Country:US
Practice Address - Phone:603-357-0341
Practice Address - Fax:603-352-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAZJ5394OtherBCBS PROVIDER NUMBER
NH3076620Medicaid
NH7106214Y0NH01OtherBCBS PROVIDER NUMBER
NHNH40596214Medicaid
VTVT0006214Medicaid
VTVT0006214Medicaid