Provider Demographics
NPI:1255314753
Name:TOWN OF LONDONDERRY
Entity Type:Organization
Organization Name:TOWN OF LONDONDERRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACCAFFRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-432-1124
Mailing Address - Street 1:9 MAIN ST
Mailing Address - Street 2:SUITE 2K
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:508-476-9740
Mailing Address - Fax:508-476-9748
Practice Address - Street 1:280 MAMMOTH RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3003
Practice Address - Country:US
Practice Address - Phone:603-432-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0148341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
22796OtherMATTHEW THORNTON
803919OtherTUFTS HEALTH PLAN
MA100359OtherBLUE CROSS BLUE SHIELD
0009800OtherNEIGHBORHOOD HEALTH
590012561OtherRR MEDICARE
101246000OtherUS DEPARTMENT OF LABOR
NH30009454Medicaid
702771OtherHARVARD PILGRIM
7104140Y0NH01OtherBLUE CROSS BLUE SHIELD
7104140Y0NH01OtherBLUE CROSS BLUE SHIELD
NHAM0012Medicare ID - Type Unspecified