Healthcare Provider Details

I. General information

NPI: 1639196652
Provider Name (Legal Business Name): TOWN OF PITTSFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CATAMOUNT RD
PITTSFIELD NH
03263-3801
US

IV. Provider business mailing address

33 CATAMOUNT RD
PITTSFIELD NH
03263-3801
US

V. Phone/Fax

Practice location:
  • Phone: 603-435-6807
  • Fax: 603-435-6983
Mailing address:
  • Phone: 603-435-6807
  • Fax: 603-435-6983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES M GIRARD
Title or Position: EMS CAPTAIN
Credential:
Phone: 603-435-6807