Provider Demographics
NPI:1770604159
Name:RAYMOND AMBULANCE INC.
Entity type:Organization
Organization Name:RAYMOND AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LARRABEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-895-4353
Mailing Address - Street 1:1 SCRIBNER RD
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:NH
Mailing Address - Zip Code:03077-2237
Mailing Address - Country:US
Mailing Address - Phone:603-895-4353
Mailing Address - Fax:603-895-2657
Practice Address - Street 1:1 SCRIBNER RD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:NH
Practice Address - Zip Code:03077-2237
Practice Address - Country:US
Practice Address - Phone:603-895-4353
Practice Address - Fax:603-895-2657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0097341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7103387Y0NH01OtherBLUE CROSSBLUE SHIELD
NH801389OtherTUFTS
NH80009587Medicaid
NHNH9587Medicare ID - Type UnspecifiedMEDICARE