Provider Demographics
NPI:1700877271
Name:TOWN OF HEBRON
Entity Type:Organization
Organization Name:TOWN OF HEBRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-744-5584
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 1:10 GROTON RD
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:NH
Practice Address - Zip Code:03241-7121
Practice Address - Country:US
Practice Address - Phone:603-744-5584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0215341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
71Y002990NH01OtherANTHEM BC
805471OtherTUFTS HEALTH PLAN
NH30011003Medicaid
704452OtherHARVARD PILGRIM
NH30011003Medicaid
NHRE3703Medicare PIN