Healthcare Provider Details

I. General information

NPI: 1316455033
Provider Name (Legal Business Name): TOWN OF TAMWORTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 CHINOOK TRL
TAMWORTH NH
03886-5234
US

IV. Provider business mailing address

132 CHINOOK TRL
TAMWORTH NH
03886-5234
US

V. Phone/Fax

Practice location:
  • Phone: 603-323-8874
  • Fax: 603-323-9974
Mailing address:
  • Phone: 603-323-8874
  • Fax: 603-323-9974

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 DOW
Title or Position: LIEUTENANT/UCDC/NRP
Credential: PARAMEDIC
Phone: 603-323-8874