Provider Demographics
NPI:1740400027
Name:TOWN OF BETHLEHEM
Entity Type:Organization
Organization Name:TOWN OF BETHLEHEM
Other - Org Name:TOWN OF BETHLEHEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT FIRE CHIEF BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:EMTI FIREFIGHTER1
Authorized Official - Phone:603-869-5822
Mailing Address - Street 1:2155 MAIN STREET
Mailing Address - Street 2:PO BOX 189
Mailing Address - City:BETHLEHEM
Mailing Address - State:NH
Mailing Address - Zip Code:03574-0189
Mailing Address - Country:US
Mailing Address - Phone:603-869-5822
Mailing Address - Fax:603-869-2280
Practice Address - Street 1:2155 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:NH
Practice Address - Zip Code:03574-0189
Practice Address - Country:US
Practice Address - Phone:603-869-5822
Practice Address - Fax:603-869-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0010341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance