Provider Demographics
NPI:1083914576
Name:TOWN OF SWAN'S ISLAND
Entity Type:Organization
Organization Name:TOWN OF SWAN'S ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-526-4520
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:125 HARBOR RD
Mailing Address - City:SWANS ISLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04685-0011
Mailing Address - Country:US
Mailing Address - Phone:207-526-4279
Mailing Address - Fax:207-526-4172
Practice Address - Street 1:382 ATLANTIC ROAD
Practice Address - Street 2:
Practice Address - City:SWAN'S ISLAND
Practice Address - State:ME
Practice Address - Zip Code:04685
Practice Address - Country:US
Practice Address - Phone:207-526-4279
Practice Address - Fax:207-526-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-30
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME682341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance