Provider Demographics
NPI:1467118455
Name:WEBSTER MILLS AMBULANCE LLC
Entity Type:Organization
Organization Name:WEBSTER MILLS AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MADSEN
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:603-290-4002
Mailing Address - Street 1:140 WEBSTER MILLS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03263-3915
Mailing Address - Country:US
Mailing Address - Phone:603-290-4002
Mailing Address - Fax:
Practice Address - Street 1:90 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5326
Practice Address - Country:US
Practice Address - Phone:603-290-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-13
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
T300829465OtherMEDICARE
NH3133078Medicaid