Provider Demographics
NPI:1689641268
Name:TOWN OF WEARE SELECTMEN
Entity Type:Organization
Organization Name:TOWN OF WEARE SELECTMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:VEZINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:603-529-2352
Mailing Address - Street 1:144 N STARK HWY
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281-4631
Mailing Address - Country:US
Mailing Address - Phone:603-529-2352
Mailing Address - Fax:603-529-2379
Practice Address - Street 1:15 FLANDERS MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:WEARE
Practice Address - State:NH
Practice Address - Zip Code:03281-4905
Practice Address - Country:US
Practice Address - Phone:603-529-7526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0116341600000X
341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590013117OtherRR MEDICARE
704034OtherHARVARD PILGRIM HEALTH
NH30011192Medicaid
MA1720031Medicaid
7103297Y0NH01OtherANTHEM BLUE CROSS
MA091059OtherBLUE CROSS BLUE SHIELD
7103297Y0NH01OtherANTHEM BLUE CROSS
MAAM0080Medicare ID - Type Unspecified