Active NPI
Town of Merrimack
- Ambulance
- Merrimack, NH
National Provider Identifier
1144204520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0073
- Legal business name
- TOWN OF MERRIMACK
- Practice address
- 8 Baboosic Lake Rd
Merrimack, NH 03054-3605 - Phone
- (603) 424-7075
- NPI assigned
- Nov 30, 2005
- Last updated
- Oct 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Dulong
- Title
- Town Accountant
- Phone
- (603) 424-7075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0073 | NH | Primary |
Addresses
Primary practice location
8 Baboosic Lake Rd
Merrimack, NH 03054-3605
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 702596 | Other | HARVARD PILGRIM | |
| 7106252Y0NH02 | Other | BLUE CROSS | |
| 801268 | Other | TUFTS HEALTH PLAN | |
| 441590777 | Other | RR MEDICARE | |
| 80596252 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110427000663 | NH | Part B Supplier - Ambulance Service Supplier | 0244415768 | Practice locations: Merrimack, NH |
National Provider Directory
National Provider DirectoryLocations
432 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 424-7075
6 Baboosic Lake Rd
Merrimack, NH 03054
Phone (603) 424-7075
8 Baboosic Lake Rd
Merrimack, NH 03054
Phone (603) 424-7075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380844800000",
"number": "1144204520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351",
"fax_number": "978-356-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BABOOSIC LAKE RD",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030543605",
"telephone_number": "603-424-7075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MERRIMACK",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2013-10-04",
"status": "A",
"authorized_official_last_name": "DULONG",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "TOWN ACCOUNTANT",
"authorized_official_telephone_number": "603-424-7075"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NH",
"license": "0073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "702596",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "7106252Y0NH02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "801268",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "441590777",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80596252",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.