Tri Town Volunteer Emergency Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0106 Issued in NH

Legal business name

TRI TOWN VOLUNTEER EMERGENCY AMBULANCE SERVICE INC

Practice address

17 Central St
Pembroke, NH 03275-1502

Phone

(603) 485-4411

Fax

(603) 485-5534

NPI assigned

Oct 10, 2005

Last updated

Dec 11, 2012By 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

Mrs. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1992793343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CENTRAL ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032751502",
            "telephone_number": "603-485-4411",
            "fax_number": "603-485-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TOWN VOLUNTEER EMERGENCY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008878",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009618",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.