=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154397610
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WARREN WENTWORTH AMBULANCE SERVICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2006
-----------------------------------------------------
Last Update Date | 05/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 446 ROUTE 25
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03279
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-764-9316
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 219
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03279-0219
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-764-9494
-----------------------------------------------------
Fax | 603-764-9499
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. ROBERT JAMES CLAY JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 603-764-9494
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------