Town of Brentwood
Organization Active NPI Land Ambulance · Brentwood, NH
NPI 1174516587 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1174516587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0013 (NH)
- Legal business name
- TOWN OF BRENTWOOD
- Practice address
- 148 Crawley Falls Rd
Brentwood, NH 03833-6200 - Phone
- (603) 642-8132
- NPI assigned
- Aug 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Donna Vadeboncoeur
- Title
- Manager
- Phone
- (603) 642-8132
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110504000640 | NH | Part B Supplier - Ambulance Service Supplier | 8022293158 | Practice locations: Brentwood, NH |
National Provider Directory
Locations
117 North Rd
Brentwood, NH 03833
Phone (603) 679-5335
148 Crawley Falls Rd
Brentwood, NH 03833
Phone (603) 642-8132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0013 | NH | Yes |
Addresses
Primary practice location
148 Crawley Falls Rd
Brentwood, NH 03833-6200
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30820734 | Medicaid | NH | |
| 590014329 | Other | NH | RR MEDICARE |
| 7107842Y0NH01 | Other | NH | ANTHEM BLUE CROSS |
| 802784 | Other | NH | TUFTS HEALTH PLAN |
| 703422 | Other | NH | HARVARD PILGRIM |
Other names
- Brentwood Fire Rescue
Other providers in Brentwood, NH
- Christina M T Richardson
- Seacoast Play Works Therapy, PLLC
- Mark R Sughrue
- Gayle A Sutton
- Annette C Thomas
- Jonathan C Whitcomb
All providers in Brentwood, NH · Land Ambulance in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.