Provider Demographics
NPI:1225752413
Name:TOWN OF PHIPPSBURG
Entity Type:Organization
Organization Name:TOWN OF PHIPPSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESCUE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:LORANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-389-2410
Mailing Address - Street 1:PO BOX 1810
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-1810
Mailing Address - Country:US
Mailing Address - Phone:207-892-0020
Mailing Address - Fax:207-893-0583
Practice Address - Street 1:1060 MAIN RD
Practice Address - Street 2:
Practice Address - City:PHIPPSBURG
Practice Address - State:ME
Practice Address - Zip Code:04562-9999
Practice Address - Country:US
Practice Address - Phone:207-389-2410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF PHIPPSBURG
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport