Provider Demographics
NPI:1518945740
Name:TOWN OF RYE
Entity type:Organization
Organization Name:TOWN OF RYE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:COTREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-964-6411
Mailing Address - Street 1:555 WASHINGTON RD # 1
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2317
Mailing Address - Country:US
Mailing Address - Phone:603-964-6411
Mailing Address - Fax:
Practice Address - Street 1:555 WASHINGTON RD # 1
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2317
Practice Address - Country:US
Practice Address - Phone:603-964-6411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0233341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590008114OtherRR MEDICARE
803062OtherTUFTS HEALTH PLAN
7106857Y0NH01OtherANTHEM BLUE CROSS
NH80002491Medicaid
703105OtherHARVARD PILGRIM