Provider Demographics
NPI:1649271156
Name:ROSS FUNERAL HOME INC
Entity type:Organization
Organization Name:ROSS FUNERAL HOME INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-444-5377
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-0632
Mailing Address - Country:US
Mailing Address - Phone:603-444-5377
Mailing Address - Fax:603-444-6636
Practice Address - Street 1:282 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3517
Practice Address - Country:US
Practice Address - Phone:603-444-5377
Practice Address - Fax:603-444-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00653416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH10176OtherCIGNA HEALTHSOURCE
NH30823543Medicaid
NH801384OtherTUFTS
NH700489OtherHARVARD PILGRIM HEALTHCAR
NH87726OtherUNITED HEALTHCARE
NH0005213119OtherAETNA
NH7106256Y0NH01OtherANTHEM BCBS
NH87726OtherUNITED HEALTHCARE