Provider Demographics
NPI:1124128079
Name:TOWN OF HOPKINTON
Entity type:Organization
Organization Name:TOWN OF HOPKINTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:YALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-746-8252
Mailing Address - Street 1:330 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:NH
Mailing Address - Zip Code:03229-2627
Mailing Address - Country:US
Mailing Address - Phone:603-746-3181
Mailing Address - Fax:603-746-5134
Practice Address - Street 1:9 PINE ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:NH
Practice Address - Zip Code:03229-3165
Practice Address - Country:US
Practice Address - Phone:603-746-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0053341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80006251Medicaid
NH710335YONH01OtherANTHEM
NH710335YONH01OtherANTHEM