Provider Demographics
NPI:1114789583
Name:TOWN OF DOVER-FOXCROFT
Entity Type:Organization
Organization Name:TOWN OF DOVER-FOXCROFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUDET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-564-3318
Mailing Address - Street 1:48 MORTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DOVER FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426-1397
Mailing Address - Country:US
Mailing Address - Phone:207-564-3318
Mailing Address - Fax:
Practice Address - Street 1:48 MORTON AVE STE A
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-1397
Practice Address - Country:US
Practice Address - Phone:207-564-3318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport