Healthcare Provider Details

I. General information

NPI: 1770553810
Provider Name (Legal Business Name): TOWN OF SANBORNTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 SANBORN ROAD
SANBORNTON NH
03269
US

IV. Provider business mailing address

PO BOX 112
SANBORNTON NH
03269-0112
US

V. Phone/Fax

Practice location:
  • Phone: 603-286-4819
  • Fax:
Mailing address:
  • Phone: 603-286-4819
  • Fax: 603-286-4023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAUL D DEXTER JR.
Title or Position: CHIEF
Credential:
Phone: 603-286-4819