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Organization
LORDS AMBULANCE SERVICE INC
Active
Organization
LORDS AMBULANCE SERVICE INC
Active
Other names
Lakeside Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C LORD (PRESIDENT)
(603) 539-7585
Entity
Organization
Contact information
Practice address
44 CENTER STREET, WOLFEBORO, NH 03894
(603) 569-2081
(603) 569-6214
Mailing address
PO BOX 490, CENTER OSSIPEE, NH 03814-0490
(603) 539-7585
(603) 569-6214
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0125
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1714767
MEDICAID MASS HEALTH UNYS
MA
01
—
22F4096
MA BCBS MEDEX
MA
01
—
3083574
CT MEDICAID
CT
05
—
40006268
—
NH
01
—
4620
HEALTHSOURCE
—
01
—
801736
TUFTS HEALTH
—
01
—
813433
BAY STATE HEALTH
—
01
—
A2377
EMPIRE BCBS
—
01
—
H002158
CHAMPUS
—
01
—
P00016493
RR MEDICARE
—
Enumeration date
03/06/2007
Last updated
04/20/2008
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