# TOWN OF BRENTWOOD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brentwood Fire Rescue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174516587
- **Authorized official:** DONNA VADEBONCOEUR (MANAGER)
- **Authorized official phone:** (603) 642-8132

## Contact information

- **Practice address:** 148 CRAWLEY FALLS RD, BRENTWOOD, NH 03833-6200
- **Practice address phone:** (603) 642-8132
- **Mailing address:** 8 TURCOTTE MEMORIAL DR, ROWLEY, MA 01969-1706
- **Mailing address phone:** (800) 488-4351
- **Mailing address fax:** (978) 356-2721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0013 | NH | Yes |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 10/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30820734 | — | NH |
| 01 | — | 590014329 | RR MEDICARE | NH |
| 01 | — | 703422 | HARVARD PILGRIM | NH |
| 01 | — | 7107842Y0NH01 | ANTHEM BLUE CROSS | NH |
| 01 | — | 802784 | TUFTS HEALTH PLAN | NH |
