Provider Demographics
NPI:1588655310
Name:TOWN OF GOFFSTOWN
Entity Type:Organization
Organization Name:TOWN OF GOFFSTOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-497-3619
Mailing Address - Street 1:18 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-1703
Mailing Address - Country:US
Mailing Address - Phone:603-497-3619
Mailing Address - Fax:603-497-5704
Practice Address - Street 1:16 MAIN ST
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-1761
Practice Address - Country:US
Practice Address - Phone:603-497-3619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0041341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30821646Medicaid
590014741OtherRR MEDICARE
704902OtherHARVARD PILGRIM
691521OtherTUFTS HEALTH PLAN
7109530Y0NH01OtherANTHEM BCBS
NH30821646Medicaid
704902OtherHARVARD PILGRIM