MEDICARE: TOWN OF MERRIMACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	0073	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	441590777	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	7106252Y0NH02	OTHER	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	801268	OTHER	TUFTS HEALTH PLAN
5	702596	OTHER	HARVARD PILGRIM

General Provider Information

NPI Number	:	1144204520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF MERRIMACK

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:	800-488-4351
Fax Number	:	978-356-2721

Provider Business Practice Location Address
First Line	:	8 BABOOSIC LAKE RD
Second Line	:
City	:	MERRIMACK
State	:	NH
Zip	:	03054-3605
Country	:	US
Telephone Number	:	603-424-7075
Fax Number	:

Authorized Official
Title or Position	:	TOWN ACCOUNTANT
Name	:	BRENDA DULONG
Credential	:
Telephone Number	:	603-424-7075

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	10/04/2013

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Directions to “TOWN OF MERRIMACK ” Practice Location

Language	Start Address	Practice Location

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