Provider Demographics
NPI:1326128166
Name:TOWN OF HILLSBOROUGH
Entity Type:Organization
Organization Name:TOWN OF HILLSBOROUGH
Other - Org Name:HILLSBORO FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:STAFFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:603-464-3477
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03244-0350
Mailing Address - Country:US
Mailing Address - Phone:603-464-3477
Mailing Address - Fax:603-464-3122
Practice Address - Street 1:13 CENTRAL ST.
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03244-0350
Practice Address - Country:US
Practice Address - Phone:603-464-3477
Practice Address - Fax:603-464-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0051341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH71Y002244NH01OtherAMBULANCE
NH30821372Medicaid
NH30821372Medicaid