Provider Demographics
NPI:1780830497
Name:TOWN OF BRADFORD
Entity Type:Organization
Organization Name:TOWN OF BRADFORD
Other - Org Name:BRADFORD RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-938-5900
Mailing Address - Street 1:1 PHOENIX MILL LN UNIT 200
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1445
Mailing Address - Country:US
Mailing Address - Phone:603-924-7797
Mailing Address - Fax:603-822-2813
Practice Address - Street 1:97 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:NH
Practice Address - Zip Code:03221-0000
Practice Address - Country:US
Practice Address - Phone:603-938-2231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0012341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance