Provider Demographics
NPI:1518163450
Name:TOWN OF CUSHING
Entity Type:Organization
Organization Name:TOWN OF CUSHING
Other - Org Name:CUSHING RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-354-2375
Mailing Address - Street 1:39 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:ME
Mailing Address - Zip Code:04563-3100
Mailing Address - Country:US
Mailing Address - Phone:207-354-2375
Mailing Address - Fax:207-354-1375
Practice Address - Street 1:39 CROSS RD
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:ME
Practice Address - Zip Code:04563-3100
Practice Address - Country:US
Practice Address - Phone:207-354-2375
Practice Address - Fax:207-354-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME195341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance