# TOWN OF PEMBROKE

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

## Provider details

- **NPI number:** 1548506843
- **Authorized official:** MR. CHRIS GAMACHE (EMS DIRECTOR)
- **Authorized official phone:** (603) 485-4411

## Contact information

- **Practice address:** 247 PEMBROKE ST, PEMBROKE, NH 03275-1359
- **Practice address phone:** (603) 485-4411
- **Practice address fax:** (603) 485-5534
- **Mailing address:** 247 PEMBROKE ST, PEMBROKE, NH 03275-1359
- **Mailing address phone:** (603) 485-4411
- **Mailing address fax:** (603) 485-5534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0106 | NH | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2012
- **Last updated:** 06/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P01237528 | RAILROAD MEDICARE | — |