MEDICARE: WILTON LYNDEBOROUGH VOLUNTEER AMBULANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	0121	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590013265	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZD7797	OTHER	MA	BLUE CROSS BLUE SHIELD
3	701752	OTHER		HARVARD PILGRIM
4	7106327Y0NH01	OTHER	NH	ANTHEM BLUE CROSS
5	803914	OTHER		TUFTS HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801856612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILTON LYNDEBOROUGH VOLUNTEER AMBULANCE

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:	800-488-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 FOREST RD
Second Line	:
City	:	WILTON
State	:	NH
Zip	:	03086-5129
Country	:	US
Telephone Number	:	603-654-2222
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	CAROL MCENTEE
Credential	:
Telephone Number	:	603-654-2222

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	11/17/2009

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Directions to “WILTON LYNDEBOROUGH VOLUNTEER AMBULANCE ” Practice Location

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