Provider Demographics
NPI:1568439800
Name:TOWN OF WATERVILLE VALLEY
Entity Type:Organization
Organization Name:TOWN OF WATERVILLE VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-236-8809
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:2 TRIPOLI RD
Practice Address - Street 2:
Practice Address - City:WATERVILLE VALLEY
Practice Address - State:NH
Practice Address - Zip Code:03215
Practice Address - Country:US
Practice Address - Phone:603-236-8809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0115341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
7106322Y0NH01OtherANTHEM BCBS
801078OtherTUFTS HEALTH PLAN
NH30006120Medicaid
1433033XXOtherPREFERRED CARE
590004820OtherRR MEDICARE
700491OtherHARVARD PILGRIM HEALTH
0026128OtherNEIGHBORHOOD HEALTH
609014500OtherDEPARTMENT OF LABOR
0026128OtherNEIGHBORHOOD HEALTH