Provider Demographics
NPI:1356368112
Name:TOWN OF NEWINGTON NH
Entity type:Organization
Organization Name:TOWN OF NEWINGTON NH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-436-9441
Mailing Address - Street 1:80 FOX POINT RD
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-2754
Mailing Address - Country:US
Mailing Address - Phone:603-436-9441
Mailing Address - Fax:603-430-2007
Practice Address - Street 1:80 FOX POINT RD
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-2718
Practice Address - Country:US
Practice Address - Phone:603-436-9441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0081341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
7103388Y0NH01OtherANTHEM BLUE CROSS
NH30002571Medicaid
ME=========Medicaid
ME=========Medicaid