Provider Demographics
NPI:1841351723
Name:TOWN OF NORTHUMBERLAND
Entity type:Organization
Organization Name:TOWN OF NORTHUMBERLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:603-636-1057
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 STATION SQ
Practice Address - Street 2:SUITE 2
Practice Address - City:GROVETON
Practice Address - State:NH
Practice Address - Zip Code:03582-4400
Practice Address - Country:US
Practice Address - Phone:603-636-1057
Practice Address - Fax:603-636-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00463416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH590092241OtherRAILROAD MEDICARE
NH3076578Medicaid
NH590092241OtherRAILROAD MEDICARE