Provider Demographics
NPI:1134269426
Name:TOWN OF HENNIKER
Entity type:Organization
Organization Name:TOWN OF HENNIKER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCOIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-428-7552
Mailing Address - Street 1:216 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-6212
Mailing Address - Country:US
Mailing Address - Phone:603-428-7552
Mailing Address - Fax:603-428-7628
Practice Address - Street 1:216 MAPLE ST
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-6212
Practice Address - Country:US
Practice Address - Phone:603-428-7552
Practice Address - Fax:603-428-7628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0050341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010576Medicaid
NH7103161Y0NH01OtherANTHEM
NH30010576Medicaid