Provider Demographics
NPI:1073504817
Name:TOWN OF HAMPTON
Entity type:Organization
Organization Name:TOWN OF HAMPTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DENIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-929-1915
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:140 WINNACUNNET RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2126
Practice Address - Country:US
Practice Address - Phone:603-926-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0047341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3070911Medicaid
590009201OtherRR MEDICARE
7106308Y0NH01OtherANTHEM BCBS
MANH6308OtherBLUE CROSS BLUE SHIELD
MA110066949AMedicaid
800241OtherTUFTS HEALTH PLAN
0018727OtherNEIGHBORHOOD HEALTH PLAN
202191600OtherUS DEPARTMENT OF LABOR
MA110066949AMedicaid
800241OtherTUFTS HEALTH PLAN