Healthcare Provider Details

I. General information

NPI: 1942767017
Provider Name (Legal Business Name): TOWN OF CANAAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 NH RT 118
CANAAN NH
03741
US

IV. Provider business mailing address

PO BOX 38
CANAAN NH
03741-0038
US

V. Phone/Fax

Practice location:
  • Phone: 603-523-8808
  • Fax:
Mailing address:
  • Phone: 603-523-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SAMSON
Title or Position: TOWN ADMINISTRATOR
Credential:
Phone: 603-523-4501