Provider Demographics
NPI:1699785287
Name:TOWN OF DUNBARTON
Entity type:Organization
Organization Name:TOWN OF DUNBARTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WIGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-774-3542
Mailing Address - Street 1:1011 SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:DUNBARTON
Mailing Address - State:NH
Mailing Address - Zip Code:03046-4816
Mailing Address - Country:US
Mailing Address - Phone:603-774-3541
Mailing Address - Fax:603-774-5601
Practice Address - Street 1:18 ROBERT ROGERS RD
Practice Address - Street 2:
Practice Address - City:DUNBARTON
Practice Address - State:NH
Practice Address - Zip Code:03046
Practice Address - Country:US
Practice Address - Phone:603-774-3541
Practice Address - Fax:603-774-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0146341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH71Y002996NH01OtherANTHEM
NH30821572Medicaid
NH30821572Medicaid