Provider Demographics
NPI:1457339152
Name:CITY OF PORTSMOUTH NEW HAMPSHIRE
Entity Type:Organization
Organization Name:CITY OF PORTSMOUTH NEW HAMPSHIRE
Other - Org Name:CITY OF PORTSMOUTH FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-427-1515
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:978-356-2721
Practice Address - Street 1:170 COURT ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4416
Practice Address - Country:US
Practice Address - Phone:603-427-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0095341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
801339OtherTUFTS HEALTH PLAN
MAZH6573OtherBLUE CROSS BLUE SHIELD
247523600OtherDEPARTMENT OF LABOR
590092093OtherRR MEDICARE
7106219Y0NH01OtherANTHEM BLUE CROSS
NH80596219Medicaid
ME143810000Medicaid
700422OtherHARVARD PILGRIM
NHNH6219Medicare PIN