Provider Demographics
NPI:1013235134
Name:OSSIPEE VALLEY EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:OSSIPEE VALLEY EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:603-539-9074
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:WEST OSSIPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03890
Mailing Address - Country:US
Mailing Address - Phone:603-539-9074
Mailing Address - Fax:603-539-7068
Practice Address - Street 1:40 ROUTE 41
Practice Address - Street 2:
Practice Address - City:WEST OSSIPEE
Practice Address - State:NH
Practice Address - Zip Code:03890
Practice Address - Country:US
Practice Address - Phone:603-539-9074
Practice Address - Fax:603-539-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport