Provider Demographics
NPI:1629099585
Name:TOWN OF WATERBORO MAINE
Entity Type:Organization
Organization Name:TOWN OF WATERBORO MAINE
Other - Org Name:TOWN OF WATERBORO RESCUE BILLING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-247-6166
Mailing Address - Street 1:PO BOX 1810
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062
Mailing Address - Country:US
Mailing Address - Phone:207-892-0020
Mailing Address - Fax:207-893-0583
Practice Address - Street 1:6 JOHN SMITH RD
Practice Address - Street 2:
Practice Address - City:WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04087
Practice Address - Country:US
Practice Address - Phone:207-247-5299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME7353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME590010669OtherRAILROAD MEDICARE
ME120060000Medicaid
ME025492OtherBLUE CROSS
ME590010669OtherRAILROAD MEDICARE