Provider Demographics
NPI:1558350363
Name:MCGREGOR MEMORIAL AMBULANCE INC
Entity Type:Organization
Organization Name:MCGREGOR MEMORIAL AMBULANCE INC
Other - Org Name:MCGREGOR MEMORIAL EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-862-3674
Mailing Address - Street 1:47 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2620
Mailing Address - Country:US
Mailing Address - Phone:603-862-3674
Mailing Address - Fax:603-862-4415
Practice Address - Street 1:47 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824
Practice Address - Country:US
Practice Address - Phone:603-862-3674
Practice Address - Fax:603-862-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
NH0031341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
801271OtherTUFTS HEALTH PLAN
NH3090004Medicaid
700387OtherHARVARD PILGRIM
590008520OtherRR MEDICARE
F434689OtherOXFORD HEALTH PLANS
7106274Y0NH01OtherANTHEM BLUE CROSS
801271OtherTUFTS HEALTH PLAN