# LORDS AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992835557
- **Authorized official:** MR. BRIAN C LORD (PRESIDENT)
- **Authorized official phone:** (603) 539-7585

## Contact information

- **Practice address:** 44 CENTER STREET, WOLFEBORO, NH 03894
- **Practice address phone:** (603) 569-2081
- **Practice address fax:** (603) 569-6214
- **Mailing address:** PO BOX 490, CENTER OSSIPEE, NH 03814-0490
- **Mailing address phone:** (603) 539-7585
- **Mailing address fax:** (603) 569-6214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0125 | NH | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 04/20/2008

## 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 | — |