Provider Demographics
NPI:1316931033
Name:STEWART'S AMBULANCE SERVICE, INC
Entity type:Organization
Organization Name:STEWART'S AMBULANCE SERVICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-279-5901
Mailing Address - Street 1:PO BOX 1399
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253
Mailing Address - Country:US
Mailing Address - Phone:603-279-5901
Mailing Address - Fax:603-279-6247
Practice Address - Street 1:20 FOUNDRY AVE
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253
Practice Address - Country:US
Practice Address - Phone:603-279-5901
Practice Address - Fax:603-279-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04913416L0300X
NH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80596231Medicaid
NHNH6231Medicare ID - Type Unspecified