Organization Active NPI

Town of Merrimack

  • Ambulance
  • Merrimack, NH
National Provider Identifier
1144204520
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0073 Issued in NH
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
702596OtherHARVARD PILGRIM
7106252Y0NH02OtherBLUE CROSS
801268OtherTUFTS HEALTH PLAN
441590777OtherRR MEDICARE
80596252MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000663 NH Part B Supplier - Ambulance Service Supplier 0244415768 Practice locations: Merrimack, NH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.