Healthcare Provider Details

I. General information

NPI: 1063662658
Provider Name (Legal Business Name): TOWN OF GRAFTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 LIBRARY RD
GRAFTON NH
03240
US

IV. Provider business mailing address

PO BOX 290184
WETHERSFIELD CT
06129-0184
US

V. Phone/Fax

Practice location:
  • Phone: 603-523-7500
  • Fax: 603-523-4026
Mailing address:
  • Phone: 860-257-7080
  • Fax: 860-563-3403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0043
License Number StateNH

VIII. Authorized Official

Name: MS. DOTTI ERNST
Title or Position: CAPTAIN
Credential:
Phone: 603-523-7500