Provider Demographics
NPI:1538126560
Name:WOODSVILLE FIRE DISTRICT
Entity Type:Organization
Organization Name:WOODSVILLE FIRE DISTRICT
Other - Org Name:WOODSVILLE RESCUE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-747-3311
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-0191
Mailing Address - Country:US
Mailing Address - Phone:802-748-3311
Mailing Address - Fax:802-747-3334
Practice Address - Street 1:4910 DARTMOUTH COLLEGE HWY
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1413
Practice Address - Country:US
Practice Address - Phone:603-747-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0126341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00115608OtherRR MEDICARE
VT1003628Medicaid
VT00003376OtherBLUE CROSS BLUE SHIELD
NH80009734Medicaid
801738OtherTUFTS HEALTH PLAN
700766OtherHARVARD PILGRIM
725694OtherCONNECTICARE
7103376Y0NH01OtherANTHEM BLUE CROSS
801738OtherTUFTS HEALTH PLAN