Organization
TOWN OF WINCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
6 PARKER ST, WINCHESTER, NH 03470-2902
(603) 239-6691
(603) 239-8294
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0122
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086319
—
NH
01
—
590015147
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
07/19/2013
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