Provider Demographics
NPI:1336312073
Name:TOWN OF BAILEYVILLE
Entity Type:Organization
Organization Name:TOWN OF BAILEYVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-427-3442
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:BAILEYVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04694-0370
Mailing Address - Country:US
Mailing Address - Phone:207-427-3442
Mailing Address - Fax:207-427-6200
Practice Address - Street 1:63 BROADWAY ST.
Practice Address - Street 2:
Practice Address - City:BAILEYVILLE
Practice Address - State:ME
Practice Address - Zip Code:04694
Practice Address - Country:US
Practice Address - Phone:207-427-3442
Practice Address - Fax:207-427-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance