Organization
TOWN OF GORHAM
Active
Other names
Gorham EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CLOUTIER (FIRE CHIEF)
(603) 466-2549
Entity
Organization
Contact information
Practice address
347 MAIN ST, GORHAM, NH 03581
(603) 466-5611
(603) 466-3120
Mailing address
347 MAIN ST, GORHAM, NH 03581-1117
(603) 466-5611
(603) 466-3120
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0042
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720157225
ALL OTHERS
NH
05
—
3078044
—
NH
01
—
441590545
RAILROAD MEDICARE
NH
Enumeration date
11/07/2006
Last updated
08/11/2023
Update your record
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