Provider Demographics
NPI:1225153224
Name:CITY OF BIDDEFORD
Entity Type:Organization
Organization Name:CITY OF BIDDEFORD
Other - Org Name:BIDDEFORD FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-571-1684
Mailing Address - Street 1:152 ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-3249
Mailing Address - Country:US
Mailing Address - Phone:207-571-1684
Mailing Address - Fax:207-283-8243
Practice Address - Street 1:152 ALFRED ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3249
Practice Address - Country:US
Practice Address - Phone:207-282-6632
Practice Address - Fax:207-283-8243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME135970000Medicaid