Organization
TRI TOWN VOLUNTEER EMERGENCY AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization
Contact information
Practice address
17 CENTRAL ST, PEMBROKE, NH 03275-1502
(603) 485-4411
(603) 485-5534
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0106
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008878
—
NH
01
—
590009618
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
12/11/2012
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