Provider Demographics
NPI:1538150248
Name:TOWN OF GILMANTON
Entity type:Organization
Organization Name:TOWN OF GILMANTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEMPEL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:603-364-2500
Mailing Address - Street 1:1824 NH ROUTE 140
Mailing Address - Street 2:
Mailing Address - City:GILMANTON IW
Mailing Address - State:NH
Mailing Address - Zip Code:03837-4826
Mailing Address - Country:US
Mailing Address - Phone:603-364-2500
Mailing Address - Fax:
Practice Address - Street 1:1824 NH ROUTE 140
Practice Address - Street 2:
Practice Address - City:GILMANTON IW
Practice Address - State:NH
Practice Address - Zip Code:03837-4826
Practice Address - Country:US
Practice Address - Phone:603-364-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590012777OtherRR MEDICARE
NH30002665Medicaid
319097OtherTUFTS HEALTH PLAN
701202OtherHARVARD PILGRIM
7103789Y0NH01OtherANTHEM BCBS
=========OtherTRICARE
590012777OtherRR MEDICARE