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CITY OF LEBANON NPI 1174681712


NPI Information

NPI: 1174681712
Provider Name: CITY OF LEBANON

Other Name: LEBANON FIRE DEPARTMENT AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 30D0969544

Address:
12 S. PARK STREET
LEBANON, NH
ZIP 03766
Phone: (603) 448-8810
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CITY OF LEBANON is a land transport ambulance in Lebanon, NH. CITY OF LEBANON NPI is 1174681712. The provider is registered as an organization entity type.
The provider Other Name Is Lebanon Fire Department Ambulance.

The provider's business location address is:

12 S. PARK STREET
LEBANON, NH
ZIP 03766
Phone: (603) 448-8810

The provider's authorized official is Chris Christopoulos .
The authorized official title is Fire Chief and has the following contact phone number (603) 448-8810.

The CLIA number assigned to this NPI record is 30D0969544 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulance0203NEW HAMPSHIRENo
23416L0300XAmbulanceLand Transport0203NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10AM0075MEDICAIDVERMONT
230820557MEDICAIDNEW HAMPSHIRE
3590013846OTHERNEW HAMPSHIRERAILROAD MEDICARE
4NH00235OTHERNEW HAMPSHIRENH BCBS PROVIDER #
5AM0075MEDICARE UPINNEW HAMPSHIRE
649055OTHERVERMONTVT BCBS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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