Town of Hanover

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TOWN OF HANOVER

Practice address

48 Lyme Rd
Hanover, NH 03755-1209

Phone

(603) 643-3424

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger Bradley

Title

Chief

Phone

(603) 643-3424

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hanover Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1497852487",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551209",
            "telephone_number": "603-643-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HANOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "603-643-3424"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80596288",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006288",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell Jay Styczynski, OD
• Katie Sullivan, CMHC
• Michael Sun
• Telecrossroads Inc
• Terrace Communities Hanover, LLC
• Treadwell Counseling, PLLC
• Benjamin M Tretter, MSN, PMH-NP
• Shanna Treworgy, PSYD
• Trustees of Dartmouth College
• Trustess of Dartmouth College

• Ambulance in Hanover, NH
• Providers in Hanover, NH by specialty
• Ambulance in New Hampshire

• 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.