Provider Demographics
NPI:1275524159
Name:TOWN OF GILFORD
Entity Type:Organization
Organization Name:TOWN OF GILFORD
Other - Org Name:GILFORD AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-527-4758
Mailing Address - Street 1:47 CHERRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6829
Mailing Address - Country:US
Mailing Address - Phone:603-527-4758
Mailing Address - Fax:603-527-4763
Practice Address - Street 1:47 CHERRY VALLEY RD
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6829
Practice Address - Country:US
Practice Address - Phone:603-527-4758
Practice Address - Fax:603-527-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3083432Medicaid
7106215Y0NH01OtherANTHEM BCBS
703979OtherHARVARD PILGRIM
801466OtherTUFTS HEALTH PLAN
801466OtherTUFTS HEALTH PLAN
NH3083432Medicaid
590011296Medicare PIN