Organization
PENACOOK CIVIL DEFENSE RESCUE SQUAD
Active
Other names
Penacook Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD OBERMAN RN, EMT-I (DIRECTOR)
(603) 753-1142
Entity
Organization
Contact information
Practice address
1 OAK ST, BOSCAWEN, NH 03303-1211
(603) 753-1142
(603) 753-8792
Mailing address
1 OAK ST, BOSCAWEN, NH 03303-1211
(603) 753-1142
(603) 753-8792
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010435
—
NH
01
—
7100104Y0NH01
ANTHEM
—
Enumeration date
10/18/2006
Last updated
11/03/2015
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