Healthcare Provider Details

I. General information

NPI: 1861475949
Provider Name (Legal Business Name): CITY OF KEENE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 VERNON ST
KEENE NH
03431-3443
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 603-757-1862
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0057
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MARK HOWARD
Title or Position: FIRE CHIEF - ADMINISTRATOR
Credential:
Phone: 603-757-1862