Provider Demographics
NPI:1689658411
Name:TOWN OF NEW HAMPTON
Entity Type:Organization
Organization Name:TOWN OF NEW HAMPTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-744-2735
Mailing Address - Street 1:26 INTERVALE RD
Mailing Address - Street 2:
Mailing Address - City:NEW HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03256-4449
Mailing Address - Country:US
Mailing Address - Phone:603-744-2735
Mailing Address - Fax:603-744-6520
Practice Address - Street 1:26 INTERVALE RD
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03256-4449
Practice Address - Country:US
Practice Address - Phone:603-744-2735
Practice Address - Fax:603-744-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7102200Y0NH01OtherANTHEM BC/BS
NH3078910Medicaid
590014087OtherRR MEDICARE
703697OtherHARVARD PILGRIM
NH806103OtherTUFTS HEALTH PLAN
NH3078910Medicaid
NHAM0024Medicare PIN