Provider Demographics
NPI:1922065952
Name:TOWN OF WINDHAM
Entity Type:Organization
Organization Name:TOWN OF WINDHAM
Other - Org Name:WINDHAM FIRE DEPARTMENT AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:603-434-4907
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 1:3 FELLOWS RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1909
Practice Address - Country:US
Practice Address - Phone:603-434-4907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0123341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590000552OtherRR MEDICARE
7106206Y0NH01OtherANTHEM BLUE CROSS
MA80006206Medicaid
0026089OtherNEIGHBORHOOD HEALTH
800365OtherTUFTS HEALTH PLAN
NY151996XXOtherPREFERRED CARE
700470OtherHARVARD PILGRIM
NH80006206Medicaid