# TOWN OF PLYMOUTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083692776
- **Authorized official:** CASINO CLOGSTON (CHIEF)
- **Authorized official phone:** (603) 536-1253

## Contact information

- **Practice address:** 42 HIGHLAND ST, PLYMOUTH, NH 03264-1236
- **Practice address phone:** (603) 536-1253
- **Mailing address:** 42 HIGHLAND ST, PLYMOUTH, NH 03264-1236
- **Mailing address phone:** (603) 536-1253
- **Mailing address fax:** (603) 536-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 10/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590008029 | RR MEDICARE | — |
| 01 | — | 700353 | HARVARD PILGRIM | — |
| 01 | — | 7106290Y0NH01 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 734851 | TUFTS HEALTH PLAN | — |
| 05 | — | 80006290 | — | NH |