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Organization
TOWN OF DERRY
Active
Organization
TOWN OF DERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK HEMEON (EMS DIRECTOR)
(603) 432-6751
Entity
Organization
Contact information
Practice address
14 MANNING ST, DERRY, NH 03038-3201
(603) 432-6751
Mailing address
PO BOX 9565, MANCHESTER, NH 03108-9565
(603) 432-6751
(603) 537-9216
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0029
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029000222
TRICARE
—
05
—
1710532
—
MA
01
—
7106297Y0NH01
ANTHEM BC/BS
—
05
—
80596297
—
NH
Enumeration date
06/09/2005
Last updated
06/29/2012
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