Provider Demographics
NPI:1669459780
Name:TOWN OF PETERBOROUGH
Entity type:Organization
Organization Name:TOWN OF PETERBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LENOX
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:603-924-8090
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-0293
Mailing Address - Country:US
Mailing Address - Phone:603-924-7797
Mailing Address - Fax:603-924-4437
Practice Address - Street 1:16 SUMMER ST
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2430
Practice Address - Country:US
Practice Address - Phone:603-924-8090
Practice Address - Fax:603-924-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0093341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
616728OtherTUFTS HEALTH PLAN
NH30011005Medicaid
645382OtherHARVARD PILGRIM
VT1013308Medicaid
MA645382OtherHARVARD PILGRIM
NH30011005Medicaid