Town of Gorham

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0042 Issued in NH

Legal business name

TOWN OF GORHAM

Doing business as

Gorham EMS

Practice address

347 Main St
Gorham, NH 03581

Phone

(603) 466-5611

Fax

(603) 466-3120

NPI assigned

Nov 7, 2006

Last updated

Aug 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Cloutier

Title

Fire Chief

Phone

(603) 466-2549

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Gorham EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1720157225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035811117",
            "telephone_number": "603-466-5611",
            "fax_number": "603-466-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "03581",
            "telephone_number": "603-466-5611",
            "fax_number": "603-466-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GORHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "603-466-2549"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441590545",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078044",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHERS",
            "identifier": "1720157225",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gorham EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gorham EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue Ann Sidell DC (Riverside Wellness Center)
• Susan Martlock-J&S Care Enterprise
• Thomas Temme, MD
• Maria Lynn Therriault, PTA
• Gary Tilton, PTA
• Sherrill Tracy, MD
• United Podiatry PLLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2634)
• Wal-Mart Stores East, L.P. (Vision Center 30-2634)
• Emily Kate York, OTR/L

• Land Ambulance in Gorham, NH
• Providers in Gorham, NH by specialty
• Land Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.