# WARREN WENTWORTH AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1154397610
- **Authorized official:** MR. ROBERT JAMES CLAY JR. (CEO)
- **Authorized official phone:** (603) 764-9494

## Contact information

- **Practice address:** 446 ROUTE 25, WARREN, NH 03279
- **Practice address phone:** (603) 764-9316
- **Mailing address:** PO BOX 219, WARREN, NH 03279-0219
- **Mailing address phone:** (603) 764-9494
- **Mailing address fax:** (603) 764-9499

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2006
- **Last updated:** 05/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30006485 | — | NH |
| 01 | — | 590009517 | RR MEDICARE | — |
| 01 | — | 703372 | HARVARD PILGRIM | — |
| 01 | — | 7103290Y0NH01 | ANTHEM BCBS | — |