Healthcare Provider Details

I. General information

NPI: 1376588822
Provider Name (Legal Business Name): CONWAY VILLAGE FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 MAIN ST
CONWAY NH
03818-6166
US

IV. Provider business mailing address

128 W MAIN ST
CONWAY NH
03818-6139
US

V. Phone/Fax

Practice location:
  • Phone: 603-447-2681
  • Fax: 603-447-2766
Mailing address:
  • Phone: 603-447-5470
  • Fax: 603-447-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0229
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNH

VIII. Authorized Official

Name: LARRY B WADE
Title or Position: FIRE CHIEF
Credential:
Phone: 603-447-2681