Provider Demographics
NPI:1629373816
Name:CENTURY AMBULANCE SERVICE
Entity type:Organization
Organization Name:CENTURY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:WARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-545-2579
Mailing Address - Street 1:PO BOX 999
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-0999
Mailing Address - Country:US
Mailing Address - Phone:603-545-2579
Mailing Address - Fax:603-228-1892
Practice Address - Street 1:11 INTEGRA DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5150
Practice Address - Country:US
Practice Address - Phone:603-545-2579
Practice Address - Fax:603-228-1892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30828590Medicaid