1740400027 NPI number — TOWN OF BETHLEHEM

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740400027 NPI number — TOWN OF BETHLEHEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF BETHLEHEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TOWN OF BETHLEHEM
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740400027
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2155 MAIN STREET
Provider Second Line Business Mailing Address:
PO BOX 189
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03574-0189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-869-5822
Provider Business Mailing Address Fax Number:
603-869-2280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2155 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03574-0189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-869-5822
Provider Business Practice Location Address Fax Number:
603-869-2280
Provider Enumeration Date:
04/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LUCAS
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
B
Authorized Official Title or Position:
ASSISTANT FIRE CHIEF BILLING CLERK
Authorized Official Telephone Number:
603-869-5822

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  0010 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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