Provider Demographics
NPI:1114539293
Name:TOWN OF FORT FAIRFIELD
Entity Type:Organization
Organization Name:TOWN OF FORT FAIRFIELD
Other - Org Name:FORT FAIRFIELD FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:JALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-472-3809
Mailing Address - Street 1:18 COMMUNITY CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FORT FAIRFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04742-1193
Mailing Address - Country:US
Mailing Address - Phone:207-472-3809
Mailing Address - Fax:207-472-3810
Practice Address - Street 1:18 COMMUNITY CENTER DR
Practice Address - Street 2:
Practice Address - City:FORT FAIRFIELD
Practice Address - State:ME
Practice Address - Zip Code:04742-1193
Practice Address - Country:US
Practice Address - Phone:207-472-3809
Practice Address - Fax:207-472-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance