Provider Demographics
NPI:1548397490
Name:CITY OF AUGUSTA TREASURER
Entity Type:Organization
Organization Name:CITY OF AUGUSTA TREASURER
Other - Org Name:CITY OF AUGUSTA TREASURER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-626-2421
Mailing Address - Street 1:PO BOX 863
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-0863
Mailing Address - Country:US
Mailing Address - Phone:800-948-7991
Mailing Address - Fax:
Practice Address - Street 1:369 WATER ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5200
Practice Address - Country:US
Practice Address - Phone:207-626-2421
Practice Address - Fax:207-626-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0413416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME135930000Medicaid
ME709387Medicare ID - Type UnspecifiedMEDICARE ID