Provider Demographics
NPI:1861475949
Name:CITY OF KEENE
Entity Type:Organization
Organization Name:CITY OF KEENE
Other - Org Name:CITY OF KEENE FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF - ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-757-1862
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:31 VERNON ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3443
Practice Address - Country:US
Practice Address - Phone:603-757-1862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0057341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1002974Medicaid
MANH6339OtherBLUE CROSS BLUE SHIELD
701322OtherHARVARD PILGRIM
IL57389OtherVYTRA
71Y004972NH01OtherANTHEM BLUE CROSS
590014512OtherRR MEDICARE
353456OtherMVP HEALTH CARE
801885OtherTUFTS HEALTH PLAN
NH80596339Medicaid
A424939OtherOXFORD
MANH6339OtherBLUE CROSS BLUE SHIELD