MEDICARE: TOWN OF NEW DURHAM

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	0183	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	590010205	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	645948	OTHER	HARVARD PILGRIM
3	7102653Y0NH01	OTHER	ANTHEM BCBS

General Provider Information

NPI Number	:	1811971641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF NEW DURHAM

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

Provider Business Practice Location Address
First Line	:	4 MAIN ST
Second Line	:
City	:	NEW DURHAM
State	:	NH
Zip	:	03855-2201
Country	:	US
Telephone Number	:	603-859-2091
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	WILLIAM HERMAN
Credential	:
Telephone Number	:	603-859-2091

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	05/02/2016

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Directions to “TOWN OF NEW DURHAM ” Practice Location

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