Healthcare Provider Details

I. General information

NPI: 1689658411
Provider Name (Legal Business Name): TOWN OF NEW HAMPTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 10/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 INTERVALE RD
NEW HAMPTON NH
03256-4449
US

IV. Provider business mailing address

26 INTERVALE RD
NEW HAMPTON NH
03256-4449
US

V. Phone/Fax

Practice location:
  • Phone: 603-744-2735
  • Fax: 603-744-6520
Mailing address:
  • Phone: 603-744-2735
  • Fax: 603-744-6520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DRAKE
Title or Position: CHIEF
Credential:
Phone: 603-744-2735