Healthcare Provider Details

I. General information

NPI: 1356553226
Provider Name (Legal Business Name): SEACOAST CHAIR CAR SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 LAFAYETTE RD
HAMPTON NH
03842-2241
US

IV. Provider business mailing address

PO BOX 1093
HAMPTON NH
03843-1093
US

V. Phone/Fax

Practice location:
  • Phone: 603-926-5801
  • Fax: 603-926-5808
Mailing address:
  • Phone: 603-926-5801
  • Fax: 603-926-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT D. LEWIS
Title or Position: MANAGER
Credential:
Phone: 603-926-5801