Organization Active NPI

Easter Seals New Hampshire, Inc Special Transist SVCS

  • Non-emergency Medical Transport (VAN)
  • Manchester, NH
National Provider Identifier
1932271905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EASTER SEALS NEW HAMPSHIRE, INC SPECIAL TRANSIST SVCS
Practice address
180 Zachary Rd Ste 6
Manchester, NH 03109-5623
Phone
(603) 668-8603
Fax
(603) 624-9794
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry Gammom
Title
President
Phone
(603) 623-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

180 Zachary Rd Ste 6
Manchester, NH 03109-5623

Mailing address

555 Auburn St
Manchester, NH 03103-4803
Phone (603) 623-8863

Other identifiers 1

IdentifierTypeStateIssuer
30003417MedicaidNH

National Provider Directory

National Provider Directory

Locations

180 Zachary Rd
Ste 6
Manchester, NH 03109
Phone (603) 668-8603

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932271905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AUBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034803",
            "telephone_number": "603-623-8863",
            "fax_number": "603-625-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ZACHARY RD STE 6",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095623",
            "telephone_number": "603-668-8603",
            "fax_number": "603-624-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NEW HAMPSHIRE, INC SPECIAL TRANSIST SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMMOM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-623-8863"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003417",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.