Provider Demographics
NPI:1962630343
Name:A&C NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:A&C NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:A C NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:STRUKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-926-0640
Mailing Address - Street 1:9 BATCHELDER LN
Mailing Address - Street 2:P.O. BOX 183
Mailing Address - City:HAMPTON FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03844-2029
Mailing Address - Country:US
Mailing Address - Phone:603-926-0640
Mailing Address - Fax:603-926-6615
Practice Address - Street 1:9 BATCHELDER LN
Practice Address - Street 2:
Practice Address - City:HAMPTON FALLS
Practice Address - State:NH
Practice Address - Zip Code:03844-2029
Practice Address - Country:US
Practice Address - Phone:603-926-0640
Practice Address - Fax:603-926-6615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH06SLM71111343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30827291Medicaid