Healthcare Provider Details

I. General information

NPI: 1629373816
Provider Name (Legal Business Name): CENTURY AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 01/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 INTEGRA DR
CONCORD NH
03301-5150
US

IV. Provider business mailing address

PO BOX 999
CONCORD NH
03302-0999
US

V. Phone/Fax

Practice location:
  • Phone: 603-545-2579
  • Fax: 603-228-1892
Mailing address:
  • Phone: 603-545-2579
  • Fax: 603-228-1892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN ALEXANDER WARWICK
Title or Position: PRESIDENT
Credential:
Phone: 603-545-2579