Provider Demographics
NPI:1831145119
Name:KER-WESTERLUND FUNERAL HOME INC.
Entity Type:Organization
Organization Name:KER-WESTERLUND FUNERAL HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-258-6500
Mailing Address - Street 1:9 MAIN ST
Mailing Address - Street 2:SUITE 2K
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-1660
Mailing Address - Country:US
Mailing Address - Phone:508-476-9740
Mailing Address - Fax:508-476-9748
Practice Address - Street 1:57 HIGH ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6749
Practice Address - Country:US
Practice Address - Phone:802-258-6500
Practice Address - Fax:802-254-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH71Y002265VT01OtherBCBS NH PROV NUMBER
MA7700903Medicaid
NH99006478Medicaid
VT7700903Medicaid
VTVT6478OtherBCBS VT PROV NUMBER
ME1002265OtherBCBS ME PROV NUMBER
ME=========Medicaid
ME=========Medicaid