Organization
PENACOOK CIVIL DEFENSE RESCUE SQUAD
Active
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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