Healthcare Provider Details

I. General information

NPI: 1588655310
Provider Name (Legal Business Name): TOWN OF GOFFSTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CHURCH ST
GOFFSTOWN NH
03045-1703
US

IV. Provider business mailing address

PO BOX 547
WHEELING IL
60090-0547
US

V. Phone/Fax

Practice location:
  • Phone: 734-253-0103
  • Fax:
Mailing address:
  • Phone: 336-518-6343
  • Fax: 336-740-9793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0041
License Number StateNH

VIII. Authorized Official

Name: BRENDA JEAN BARSS
Title or Position: EXECUTIVE SECRETARY
Credential:
Phone: 603-497-3619