Healthcare Provider Details

I. General information

NPI: 1972338325
Provider Name (Legal Business Name): TOWN OF EFFINGHAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 PROVINCE LAKE RD
EFFINGHAM NH
03882-8442
US

IV. Provider business mailing address

1102 PROVINCE LAKE RD
EFFINGHAM NH
03882-8442
US

V. Phone/Fax

Practice location:
  • Phone: 603-539-7956
  • Fax: 603-539-4505
Mailing address:
  • Phone: 603-539-7956
  • Fax: 603-539-4505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JON-THOMAS HARMON
Title or Position: FIRE CHIEF
Credential:
Phone: 603-539-7956