Provider Demographics
NPI:1083739239
Name:TOWN OF THOMASTON
Entity Type:Organization
Organization Name:TOWN OF THOMASTON
Other - Org Name:THOMASTON AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-354-6107
Mailing Address - Street 1:13 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:ME
Mailing Address - Zip Code:04861-3818
Mailing Address - Country:US
Mailing Address - Phone:207-354-6107
Mailing Address - Fax:
Practice Address - Street 1:6 KNOX ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:ME
Practice Address - Zip Code:04861-3711
Practice Address - Country:US
Practice Address - Phone:207-354-6272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME6843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME137270000Medicaid