Provider Demographics
NPI:1316982861
Name:TWIN RIVERS AMBULANCE COMPANY INC
Entity type:Organization
Organization Name:TWIN RIVERS AMBULANCE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAULIEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-286-8778
Mailing Address - Street 1:36 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03276-1620
Mailing Address - Country:US
Mailing Address - Phone:603-286-8778
Mailing Address - Fax:603-286-8084
Practice Address - Street 1:36 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03276-1620
Practice Address - Country:US
Practice Address - Phone:603-286-8778
Practice Address - Fax:603-286-8084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0110341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH710625 YONH01OtherPROVIDER NUMBER
NH80596259Medicaid
NH80596259Medicaid