Provider Demographics
NPI:1376513192
Name:CITY OF WESTBROOK
Entity Type:Organization
Organization Name:CITY OF WESTBROOK
Other - Org Name:WESTBROOK FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-854-0644
Mailing Address - Street 1:570 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4114
Mailing Address - Country:US
Mailing Address - Phone:207-854-0644
Mailing Address - Fax:207-839-7753
Practice Address - Street 1:570 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4114
Practice Address - Country:US
Practice Address - Phone:207-854-0644
Practice Address - Fax:207-854-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM1000OtherMEDICARE PTAN
ME136090000Medicaid