MEDICARE: TOWN OF ALTON

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
2	3416L0300X	Land Ambulance	0256	NH

General Provider Information

NPI Number	:	1689676561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF ALTON

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	:	65 FRANK C GILMAN HIGHWAY
Second Line	:
City	:	ALTON
State	:	NH
Zip	:	03809
Country	:	US
Telephone Number	:	603-875-0222
Fax Number	:	603-651-0731

Authorized Official
Title or Position	:	CHIEF
Name	:	JAMES BEAUDOIN
Credential	:
Telephone Number	:	603-875-0222

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	12/19/2022

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1891853412 — DAVID HAMILTON REALL MD
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Practice Location Address:

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Directions to “TOWN OF ALTON ” Practice Location

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