Provider Demographics
NPI:1609852433
Name:TOWN OF NORTH HAMPTON
Entity Type:Organization
Organization Name:TOWN OF NORTH HAMPTON
Other - Org Name:NORTH HAMPTON AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TULLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-964-8087
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:978-356-2721
Practice Address - Street 1:235 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-2352
Practice Address - Country:US
Practice Address - Phone:603-964-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0087341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
59001056OtherRR MEDICARE
NH3070916Medicaid
701653OtherHARVARD PILGRIM
590008971OtherRR MEDICARE
NH7106281Y0NH01OtherBLUE CROSS BLUE SHIELD