Organization
TOWN OF WILTON
Active
Other names
Wilton Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SUE BOISSONAULT (CHAIRPERSON)
(570) 271-1120
Entity
Organization
Contact information
Practice address
404 FOREST RD, WILTON, NH 03086
(603) 654-2222
(603) 654-3307
Mailing address
70 MAIN ST UNIT 200, PETERBOROUGH, NH 03458-2467
(603) 924-7797
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0121
NH
3416L0300X
Land Ambulance
0121
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001473901
NH MEDICARE
NH
05
—
3070917
—
NH
01
—
P00978698
RR MEDICARE
NH
Enumeration date
11/24/2009
Last updated
03/24/2021
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