Healthcare Provider Details

I. General information

NPI: 1346321502
Provider Name (Legal Business Name): TOWN OF MILTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 WHITE MTN HIGHWAY
MILTON NH
03851
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 603-652-4501
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0077
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0077
License Number StateNH

VIII. Authorized Official

Name: NICHOLAS M MARIQUE
Title or Position: CHIEF
Credential:
Phone: 570-271-1120