Healthcare Provider Details
I. General information
NPI: 1871872101
Provider Name (Legal Business Name): TOWN OF MARLOW
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/04/2011
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
123 NH ROUTE 123
MARLOW NH
03456
US
IV. Provider business mailing address
8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US
V. Phone/Fax
- Phone: 603-313-4503
- Fax:
- Phone: 800-488-4351
- Fax: 978-356-2721
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 0072 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 0072 |
| License Number State | NH |
VIII. Authorized Official
Name:
ROBERT
ALLEN
Title or Position: TOWN SELECTMAN
Credential:
Phone: 603-446-2245