Provider Demographics
NPI:1477666816
Name:TOWN OF ALFRED
Entity Type:Organization
Organization Name:TOWN OF ALFRED
Other - Org Name:ALFRED RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:RESCUE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:BORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-324-8969
Mailing Address - Street 1:PO BOX 235
Mailing Address - Street 2:
Mailing Address - City:ALFRED
Mailing Address - State:ME
Mailing Address - Zip Code:04002
Mailing Address - Country:US
Mailing Address - Phone:207-324-8969
Mailing Address - Fax:207-324-8347
Practice Address - Street 1:77 KENNEBUNK RD
Practice Address - Street 2:
Practice Address - City:ALFRED
Practice Address - State:ME
Practice Address - Zip Code:04002
Practice Address - Country:US
Practice Address - Phone:207-324-8969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME005341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance